成人Still病32例临床分析

目的探讨成人Still病的临床特点，提高诊断的正确率。方法回顾分析32例成人Still病的临床表现及化验检查，分析其临床特点。结果高热（体温≥39．0℃）、一过性皮疹、关节痛、白细胞、中性粒细胞增高（白细胞≥12．0×10^9／L，中性粒细胞≥80％）、血清铁蛋白增高，血沉、C-反应蛋白增高，肝脾淋巴结肿大是多见的表现，非甾体类抗炎药加糖皮质激素或／和免疫抑制剂是常用的治疗方法。结论成人Still病临床表现及实验室检查缺乏特异性，诊断时应符合参考诊断标准并除外其他疾病。

Clinical analysis of 32 cases with adult onset Still's disease

Objective To investigate the clinical manifestations of adult onset Still＇s disease, in order to increase the rate of the diagnosis. Methods The clinical manifestations and related examination of 32 patients with adult onset Still＇s disease were retrospectively analyzed. Results Spiking fever （≥39.0℃ ） , transient erythema, arthralgia, elevated leukocyte counts and neutrophils, increasing erythrocyte sedimentation rate and C-rcction protein, serum ferritin level and swallow of liver, spleen and lymph nodes were the most common clinical manifestations. Non-steroid anti-inflammatory drugs plus hormone and/or immunosuppressor were common measures of the treatment. Conclusion Clinical manifestations and examination of adult onset still＇s disease are non-specifieifie, so it is diagnosed by the reference standard and with the exclusion of other diseases.