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成人Still’s病(AOSD)是一种病因未明的罕见的全身系统性炎症疾病,无特异性的临床表现和实验室检查指标,目前尚无特异性的诊断标准,临床上多采用排除性诊断,容易被漏诊和误诊。感染常是AOSD的重要诱因,发热、关节痛、皮疹、咽痛以及肝、脾、淋巴结肿大是其常见症状。该文报道了1例以双肺细菌性肺炎为首发表现的AOSD女性患者,其影像学资料提示为肺炎,予规律抗感染治疗无效,行相关检查后予糖皮质激素作治疗性诊断,患者病情好转且稳定。早期及时准确的诊断与治疗对AOSD患者预后有重要意义。
Still, Still’s disease (AOSD) is a rare systemic systemic inflammatory disease of unknown etiology. There are no specific clinical manifestations and laboratory tests. There is no specific diagnostic criteria for this disease, so it is easy to diagnose easily in clinic. Be missed and misdiagnosed. Infection is often an important cause of AOSD, fever, joint pain, rash, sore throat and liver, spleen, lymph nodes is a common symptom. This paper reports a case of lung bacterial pneumonia in the first episode of AOSD female patients, the imaging data suggest that pneumonia, regular anti-infective therapy is invalid, the relevant examination of glucocorticoid for the diagnosis, the patient’s condition Improved and stable. Accurate early diagnosis and treatment of AOSD patients with prognosis of great significance.