Still’s disease is a great mimic of systemic inflammatory response syndrome?
- Authors: Melnikova L.V.1, Lokhina T.V.2, Berenshtein N.V.2, Timofeeva N.A.3
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Affiliations:
- Russian Medical Academy of Continuous Professional Education of the Ministry of Healthcare of Russia
- Penza Institute for Further Training of Physicians – branch of Russian Medical Academy of Continuous Professional Education of the Ministry of Healthcare of Russia
- G.A. Zakharyin Clinical Hospital No. 6
- Issue: Vol 9, No 2 (2023)
- Pages: 80–84
- Section: CLINICAL CASE
- URL: https://journals.eco-vector.com/2412-4036/article/view/430431
- DOI: https://doi.org/10.18565/therapy.2023.2.80–84
- ID: 430431
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Abstract
Still’s disease in adults (ADS) is a rare systemic autoinflammatory disease. Fever, arthralgia, rash, and neutrophilic leukocytosis are dominating in its clinical picture. These indexes let doctors to suspect infectious diseases, sepsis and prescribe antibiotic therapy, which is ineffective. Article presents a case of a disease that debuted with high fever, shortness of breath, severe weakness and myalgia. Female patient was diagnosed according to the present symptoms, laboratory signs, taking into account the criteria of Yamaguchi M. et al. and by excluding infectious and autoimmune diseases, malignant neoplasms. Treatment with corticosteroids resulted in complete clinical remission.
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About the authors
Lyudmila V. Melnikova
Russian Medical Academy of Continuous Professional Education of the Ministry of Healthcare of Russia
Author for correspondence.
Email: lumel2408@yandex.ru
ORCID iD: 0000-0003-4688-1272
MD, associate professor, professor the Department of general medical practice and polyclinic therapy, Russian Medical Academy of Continuous Professional Education of the Ministry of Healthcare of Russia
Russian Federation, 125445, Moscow,19/38 Belomorskaya StrTatyana V. Lokhina
Penza Institute for Further Training of Physicians – branch of Russian Medical Academy of Continuous Professional Education of the Ministry of Healthcare of Russia
Email: ltv-13@mail.ru
ORCID iD: 0000-0002-9493-444X
MD, head of the Department of therapy, cardiology, functional diagnostics and rheumatology, Penza Institute for Further Training of Physicians – branch of Russian Medical Academy of Continuous Professional Education of the Ministry of Healthcare of Russia
Russian Federation, 440060, Penza,8A Stasova Str.Natalya V. Berenshtein
Penza Institute for Further Training of Physicians – branch of Russian Medical Academy of Continuous Professional Education of the Ministry of Healthcare of Russia
Email: berenshtein2011@yandex.ru
ORCID iD: 0000-0002-1589-2799
PhD in Medical Sciences, associate professor of the Department of ultrasound diagnostics, Penza Institute for Further Training of Physicians – branch of Russian Medical Academy of Continuous Professional Education of the Ministry of Healthcare of Russia
Russian Federation, 440060, Penza,8A Stasova Str.Natalya A. Timofeeva
G.A. Zakharyin Clinical Hospital No. 6
Email: nataliatimofeeva1805@gmail.com
deputy chief physician for medicine of G.A. Zakharyin Clinical Hospital No. 6
Russian Federation, 440071, Penza,7 Stasova Str.References
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