中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2008年
3期
384-385
,共2页
Still病,成人型%误诊
Still病,成人型%誤診
Still병,성인형%오진
Still's disease,adult-onset%Diagnostic errors
目的 探讨成人斯蒂尔病(AODS)的临床特点、伴随症状和误诊原因,以提高临床医师对本病的认识.方法 对12例经临床和实验室确诊的成人斯蒂尔病进行回顾性分析.结果 发热12例,皮疹、关节痛各9例,肌肉酸痛3例,肝肿大5例,脾肿大4例,肝脾同时肿大3例,腹痛2例.结论 成人斯蒂尔病临床表现复杂,早期缺乏特异性症状,极易造成误诊误治.
目的 探討成人斯蒂爾病(AODS)的臨床特點、伴隨癥狀和誤診原因,以提高臨床醫師對本病的認識.方法 對12例經臨床和實驗室確診的成人斯蒂爾病進行迴顧性分析.結果 髮熱12例,皮疹、關節痛各9例,肌肉痠痛3例,肝腫大5例,脾腫大4例,肝脾同時腫大3例,腹痛2例.結論 成人斯蒂爾病臨床錶現複雜,早期缺乏特異性癥狀,極易造成誤診誤治.
목적 탐토성인사체이병(AODS)적림상특점、반수증상화오진원인,이제고림상의사대본병적인식.방법 대12례경림상화실험실학진적성인사체이병진행회고성분석.결과 발열12례,피진、관절통각9례,기육산통3례,간종대5례,비종대4례,간비동시종대3례,복통2례.결론 성인사체이병림상표현복잡,조기결핍특이성증상,겁역조성오진오치.
Objective To study the clinical characteristics of the adult onset Still's disease(AODS),its concomitant symptoms,and misdiagnosis.Methods To analyze retrospectively 12 adults who were diagnosed bosh by clinical treatment and laboratory examination as AODS patients.Results 12 cases suffered from fever,9 cases from dermatitis and arthralgia,3 cases from muscle pains,3 cases from enlarged liver,4 cases from enlarged spleen,3 cases from enlarged liver and spleen,and 3 cases from abdomen pain.Conclusion AODS does not have special symptoms in its early stage.Its complexity often results in a missdiagnosis.