有非典型皮损特征的成人Still病

• 作 者: Affleck A.G. Littlewood S.M. 牛新武
• 机 构: Department of Dermatology Queen\'s Medical Centre University Hospital Nottingham NHS Trust Nottin
• 出 处: 世界核心医学期刊文摘(皮肤病学分册)
• 发表日期: 2005年09期
• 关键词: 非典型皮损 Still 荨麻疹 时可 特异性检测 斑块

Introduction:The diagnosis of adult-onset Still’s disease (AOSD) can be very difficult. There are no specific tests and reliance is usually placed on a symptom complex and the well described typical rash seen in most patients. In recent years, however, other cutaneous manifestations of AOSD have been reported but these are not so well known. Observations:We report a patient with urticaria and fixed plaques and review the other ‘atypical’cutaneous findings associated with AOSD. Conclusions:The diagnosis of AOSD can be made in the absence of the typical Still’s rash but in the presence of other atypical cutaneous features.

There are no specific tests and reliance is usually placed on a symptom complex and the well described typical rash seen in most patients. In recent years, however, other cutaneous manifestations of AOSD have been reported but these are not so well known. Observations: We report a patient with urticaria and fixed plaques and review the other ’atypical’cutaneous findings associated with AOSD. Conclusions: The diagnosis of AOSD can be made in the absence of the typical Still’s rash but in the presence of other atypical cutaneous features.