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KMID : 0388220070140020160
Journal of the Korean Rheumatism Association
2007 Volume.14 No. 2 p.160 ~ p.165
Two Cases of Adult Onset Still¡¯s Disease with Concomitant Hemophagocytic Syndrome
Kim Hyun-Sook

Choe Jung-Yoon
Park Keun-Woo
Kim Ji-Young
Park Sung-Hoon
Shin Jin-Hyang
Kim Sang-Gyung
Kim Soo-Kyung
Abstract
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.
KEYWORD
Adult onset Still¡¯s disease (AOSD), Hemophagocytic syndrome
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