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成人Still病(adult onset Still’s disease AOSD)是病因未明的以高热、一过性多形性皮疹、关节炎或关节痛为主要临床表现,并伴有周围血粒细胞增高、肝脾及淋巴结肿大等系统受累的一种临床综合症。其临床表现复杂,加上许多临床医师对其认识不足,所以其诊断比较困难。成人Still病复发率高,尚缺乏理想的治疗方案。作者就1989年至1995年收治的12例成人Still病,对其诊断和治疗进行探讨。 1 临床资料 1.1 一般资料:本院1989年至1995年共收治成人Still病患者12例,男性4例,女性8例,年龄20～51岁,平均年龄33.4岁。确诊时间从20天至5年
Adult Still Still disease (AOSD) is the etiology of the high fever, transient rash, arthritis or joint pain as the main clinical manifestations, accompanied by increased peripheral blood neutrophils, liver and spleen and enlarged lymph nodes Such systems are involved in a clinical syndrome. Its complex clinical manifestations, coupled with many clinicians lack of knowledge, so the diagnosis is more difficult. Adult Still disease recurrence rate is high, the lack of the ideal treatment. The authors examined 12 cases of adult Still disease from 1989 to 1995 and discussed their diagnosis and treatment. 1 Clinical data 1.1 General Information: The hospital from 1989 to 1995, a total of 12 cases of adult Still disease patients, 4 males and 8 females, aged 20 to 51 years old, with an average age of 33.4 years. Confirmation time from 20 days to 5 years