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26例成人Still病回顾性分析

刘瑜 陈瑾

皮肤性病诊疗学杂志2019,Vol.26Issue(1):12-15,4.
皮肤性病诊疗学杂志2019,Vol.26Issue(1):12-15,4.DOI:10.3969/j.issn.1674-8468.2019.01.003

26例成人Still病回顾性分析

A retrospective analysis of 26 cases of adult-onset Still's disease

刘瑜 1陈瑾1

作者信息

  • 1. 重庆医科大学附属第一医院皮肤科,重庆 400016
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摘要

Abstract

Objective:To analyze the clinical characteristics, laboratory indexes, treatments and outcome of the adult-onset Still's disease (AOSD).Methods:Retrospective analysis of clinical data was made in 26 cases of AOSD from Jan.2010 up to present.Results:The main features of AOSD included high fever, skin rash, polyarthralgia, sore throat, lymphadenopathy, hepatosplenomegaly and elevated circulating levels of liver enzymes. Other changes in laboratory tests were elevations in white blood cell counts, neutrophils, erythrocyte sedimentation rate and serum ferritin, along with decreased hemoglobin. In addition to the treatment with nonsteroidal anti-inflammatory drugs, 24 cases were also treated with glucocorticoids, while 4 and 2 cases were given methotrexate and thunder god vine, respectively. One case died.Conclusions:The main manifestations of AOSD are fever, skin rash, arthralgia, sore throat, splenomegaly and lymphadenopathy. There is no specific criteria for the diagnosis of AOSD. Therapeutic regimens of AOSD include nonsteroidal anti-inflammatory drugs, glucocorticoids and immunosuppressants.

关键词

成人Still病/临床特征/实验室指标/治疗

Key words

AOSD/clinical features/laboratory indexes/treatment

分类

医药卫生

引用本文复制引用

刘瑜,陈瑾..26例成人Still病回顾性分析[J].皮肤性病诊疗学杂志,2019,26(1):12-15,4.

基金项目

国家自然科学基金(编号:81773307) (编号:81773307)

皮肤性病诊疗学杂志

1674-8468

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