Evaluation of serum ferritin as a marker for adult Still''s disease activity. |
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| Authors: | M Schwarz-Eywill B Heilig H Bauer A Breitbart A Pezzutto |
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| Affiliation: | Department of Internal Medicine, Med Poliklink V, University of Heidelberg, Germany. |
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| Abstract: | Extremely high serum ferritin values (greater than 10,000 micrograms/l) were detected in two patients with adult Still's disease. The ferritin concentrations decreased to normal after adequate treatment. During a one year follow up ferritin concentration was helpful in monitoring disease activity and guiding decisions about treatment. Raised concentrations of soluble interleukin 2 receptors (sCD25) were also found. Detection of ferritin values above 3000 micrograms/l should lead to the consideration of Still's disease when there is an acute febrile illness without evidence for bacterial or viral infections, serum ferritin being suitable for monitoring treatment. |
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