文章基本信息

标题：A complicated fever
本地全文：下载
作者：Paolo Ghiringhelli ; Mariagrazia Aspesi
期刊名称：Clinical Management Issues
印刷版ISSN：2283-3137
出版年度：2007
卷号：1
期号：1
页码：31-37
DOI：10.7175/cmi.v1i1.616
语种：Italian
出版社：SEEd
摘要：Fever of unknown origin is a common problem in medical practice and assemble a broad spectrum of diagnostic possibilities. We report a case of a 24-year-old woman with high-spiking fever. A diagnosis of adult-onset Still’s disease (AOSD) was made. This is a rare inflammatory disease with an unknown aetiology. The diagnosis of adult-onset Still’s disease 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. Thus, the diagnosis is made by exclusion and with the help of diagnostic criteria. The treatment of this disease has to limit the intensity of the symptoms, and this is usually obtained with NSAIDs (NonSteroidal Anti-Inflammatory Drugs), and to control the disease evolution, through the use of corticosteroid, methotrexate or ciclosphorine A. In the case here described treatment with corticosteroid met with a good response.
关键词：Adult-onset Still’s disease (AOSD);Inflammatory disease;Fever of unknown origin