KMID : 0388220070140020160
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Journal of the Korean Rheumatism Association 2007 Volume.14 No. 2 p.160 ~ p.165
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Two Cases of Adult Onset Still¡¯s Disease with Concomitant Hemophagocytic Syndrome
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Kim Hyun-Sook
Choe Jung-Yoon Park Keun-Woo Kim Ji-Young Park Sung-Hoon Shin Jin-Hyang Kim Sang-Gyung Kim Soo-Kyung
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Abstract
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Adult onset Still¡¯s disease is an rare inflammatory disease with the characteristic of fever, skin rash, arthralgia or arthritis, lymphadenopathy, leukocytosis and multiple systemic organ involve-ment. Its accurate pathogenesis has not been elucidated yet. Its clinical manifestation is also very diverse, from relatively mild symptoms to severe complications such as concomitant in-fection, liver failure, disseminated intravascular coagulation, myocarditis, adult respiratory distress syndrome, which may lead to death in some cases. Particularly, concomitant hemophagocytic syndrome is rare complication that could induce a fatal outcome. Thus it is important to diagnose early and start treatments. Until now, it has been reported in only one case of adult onset Still¡¯s disease in Korea. Here, we report two female cases of adult onset Still¡¯s disease with con-comitant hemophagocytic syndrome.
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KEYWORD
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Adult onset Still¡¯s disease (AOSD), Hemophagocytic syndrome
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