成人Still病误诊为肝脓肿1例报告并文献复习

康利民; 郑永

doi:10.3969/j.issn.1001-5256.2018.02.035

成人Still病误诊为肝脓肿1例报告并文献复习

DOI: 10.3969/j.issn.1001-5256.2018.02.035

康利民,
郑永

普洱市人民医院肝胆胰外科

详细信息

中图分类号: R593.2
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出版历程
- 出版日期: 2018-02-20

Adult-onset Still′s disease misdiagnosed as liver abscess: a case report and literature review

Department of Hepatobiliary and Pancreatic Surgery, Puer People′s Hospital

摘要

摘要:
<正>成人Still病是一种以发热、畏寒、皮疹、关节肿痛、外周血白细胞增多、脾肿大等为主要临床表现的全身性疾病,目前其发病机制不详[1]。由于成人Still病缺乏早期特异性症状、体征,非专科医师对该病的认识有限,临床易出现误诊、误治,导致延误病情。笔者近期收治1例成人Still病误诊为肝脓肿的患者,报道如下。1病例资料患者女性,46岁,因"发热,畏寒,伴右上腹胀痛不适"于2016年12月11日来本院就诊,行腹部彩超示:右肝后叶低密
- Still病,成年型 /
- 肝脓肿 /
- 误诊 /
- 病例报告
- Still's disease, adult-onset /
- liver abscess /
- diagnostic errors /
- case reports

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参考文献(12)

[1]GAO Q, YUAN Y, MA N, et al.Analysis of clinical characteristics of patients with adult-onset Still's disease complicated with hemophagocytic syndrome:a report of 3 cases and literature review[J].J Jilin Univ:Med Edit, 2016, 42 (6) :1197-1202. (in Chinese) 高旗, 袁艺, 马宁, 等.3例成人斯蒂尔病并发噬血细胞综合征患者的临床特点分析并文献复习[J].吉林大学学报:医学版, 2016, 42 (6) :1197-1202.

[2] Chinese Rheumatology Association.Guidelines for the diagnosis and treatment of adult-onset Still's disease[J].Chin J Rheumatol, 2010, 14 (7) :487-489. (in Chinese) 中华医学会风湿病学分会.成人斯蒂尔病诊断及治疗指南[J].中华风湿病学杂志, 2010, 14 (7) :487-489.

[3]XU F, HOU J, ZHANG Y, et al.Successful treatment of adultonset Still's disease complicated by acute severe hepatic lesion and hemophagocytic syndrome:a case report[J].J Clin Hepatol, 2016, 32 (8) :1590-1591. (in Chinese) 许芳, 侯洁, 张瑜, 等.成人Still's病合并急性重症肝损伤和噬血综合征1例报告[J].临床肝胆病杂志, 2016, 32 (8) :1590-1591.

[4]WANG Y, PANG J, ZHOU J, et al.A case report of adult Still's disease like acute cholecystitis[J].J Clin Hepatol, 2015, 31 (11) :1908-1909. (in Chinese) 王扬, 庞剑, 周济, 等.易误诊为急性胆囊炎的成人Still病1例报告[J].临床肝胆病杂志, 2015, 31 (11) :1908-1909.

[5]KADAVATH S, EFTHIMIOU P.Adult-onset Still's diseasepathogenesis, clinical manifestations, and new treatment options[J].Ann Med, 2015, 47 (1) :1-9.

[6]WANG GY, SHI XJ, JIANG C, et al.One case of liver transplantation for liver failure due to adult-onset Still's disease[J].J Clin Hepatol, 2014, 30 (1) :67-68. (in Chinese) 王广义, 石小举, 蒋超, 等.成人Still病致肝功能衰竭行肝移植1例报告[J].临床肝胆病杂志, 2014, 30 (1) :67-68.

[7]MARIA AT, le QUELLEC A, JORGENSEN C, et al.Adult onset Still's disease (AOSD) in the era of biologic therapies:dichotomous view for cytokine and clinical expressions[J].Autoimmun Rev, 2014, 13 (11) :1149-1159.

[8]DAI SM, LENG WJ, HAN XH, et al.Relationship between serum IL-1β, IL-6, IL-8, TIFN-αand s IL-2R levels and disease activity in adult Still disease patients[J].Acad J Sec Mil Med Univ, 2002, 23 (12) ;1351-1353. (in Chinese) 戴生明, 冷伟建, 韩星海, 等.成人Still病患者血清细胞因子水平及与病情活动性的关系[J].第二军医大学学报, 2002, 23 (12) :1351-1353.

[9]YAMAGUCHI M, OHTA A, TSUNEMATSU T, et al.Preliminary criteria for classification of adult Still's disease[J].J Rheumatol, 1992, 19 (3) :424-430.

[10]HU QF, GU MH.Clinical value of serum ferritin level in the adult onset still disease[J].Suzhou Univ J Med Sci, 2008, 28 (1) :119-120, 126. (in Chinese) 胡钦凤, 顾美华.血清铁蛋白在成人Still病诊疗中的临床价值[J].苏州大学学报:医学版, 2008, 28 (1) :119-120, 126.

[11]IWAMOTO M, NARA H, HIRATA D, et al.Humanized monoclonal anti-interlukin-6 receptor antiody for treatment of intractable adult-onset Still's disease[J].Arthritis Rheum, 2002, 46 (12) :3388-3389.

[12]UPPAL SS, AL-MUTAIRI M, HAYAT S.Ten years of clinical experience with adult onset Still's disease:is the outcome improving?[J].Clin Rheumatol, 2007, 26 (7) :1055-1060.

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