以发热伴中性粒细胞升高性胸腔积液为主要表现的成人斯蒂尔病一例

基金项目:

国家自然科学基金(82304456)；中央高水平医院临床科研专项(2022-PUMCH-B-129)

详细信息

A Case of Adult-onset Still's Disease Presented with Fever and Neutrophildominant Pleural Effusion

1 Department of Infectious Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China;
2 Department of Infectious Diseases, Zunhua People's Hospital, Zunhua, Hebei 064200, China;
3 Department of Immunology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

摘要: 本文报道了1例以发热、肌痛伴胸腔积液起病的患者，病程中炎症指标显著升高，胸腔积液为渗出液伴白细胞计数显著升高，以中性粒细胞为主。经充分排除感染，最终诊断为成人斯蒂尔病，应用糖皮质激素及托珠单抗抗炎治疗后临床症状缓解。
- 胸腔积液 /
- 渗出性 /
- 成人斯蒂尔病 /
- 炎症
Abstract: We report a case of fever, myalgia and pleural effusion in which inflammatory markers were significantly elevated during the course of the disease. Pleural effusion was exudate and white blood cell count was significantly elevated, It is dominated by neutrophile granulocyte. After the infection was fully ruled out, the final diagnosis was adult-onset Still's disease. The clinical symptoms were relieved after treatment with glucocorticoid and tocilizumab.
- pleural effusion /
- exudative /
- adult-onset Still's disease /
- inflammation

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