A case of adult-onset Still's disease with macrophage activation syndrome and acute liver failure
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- Fujii Hideki
- Department of Hepatology, Osaka City University Graduate School of Medicine
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- Takeda Shogo
- Department of Gastroenterology, Osaka City University Graduate School of Medicine
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- Asai Satoru
- Department of Clinical Immunology and Rheumatology, Osaka City University Graduate School of Medicine
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- Hayashi Yoshiki
- Department of Hematology, Osaka City University Graduate School of Medicine
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- Imanishi Hisayoshi
- Department of Dermatology, Osaka City University Graduate School of Medicine
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- Enomoto Masaru
- Department of Hepatology, Osaka City University Graduate School of Medicine
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- Ishii Masamitsu
- Department of Dermatology, Osaka City University Graduate School of Medicine
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- Hino Masayuki
- Department of Hematology, Osaka City University Graduate School of Medicine
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- Negoro Nobuo
- Department of Clinical Immunology and Rheumatology, Osaka City University Graduate School of Medicine
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- Arakawa Tetsuo
- Department of Gastroenterology, Osaka City University Graduate School of Medicine
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- Kawada Norifumi
- Department of Hepatology, Osaka City University Graduate School of Medicine
Bibliographic Information
- Other Title
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- 急性肝不全を呈するマクロファージ活性化症候群を合併した成人発症Still病の1例
- 症例報告 急性肝不全を呈するマクロファージ活性化症候群を合併した成人発症Still病の1例
- ショウレイ ホウコク キュウセイ カンフゼン オ テイスル マクロファージ カッセイカ ショウコウグン オ ガッペイ シタ セイジン ハッショウ Stillビョウ ノ 1レイ
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Description
A 26-year-old Japanese woman was admitted to our hospital because of spiking fever, eruption, and liver dysfunction. High fever continued after admission, and antibiotics were not effective. The patient was diagnosed as adult-onset Still's disease after excluding leukemia and malignant lymphoma. Because the patient was complicated with acute liver failure, steroid pulse therapy was started. Although steroid pulse therapy was transiently effective for clinical symptoms, oral predonisolone was not. Moreover, the patient was complicated with severe cytopenia. We diagnosed with macrophage activation syndrome complicated with adult-onset Still's disease. She was treated with cyclosporine A and liposteroid, resulted in complete remission for macrophage activation syndrome and adult-onset Still's disease. In summary of our case, combination of cyclosporine A and liposteroid was effective for the treatment of macrophage activation syndrome with acute liver failure in a patient with adult-onset Still's disease.<br>
Journal
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- Kanzo
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Kanzo 53 (3), 155-163, 2012
The Japan Society of Hepatology
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Keywords
Details 詳細情報について
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- CRID
- 1390282679771699712
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- NII Article ID
- 10030547273
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- NII Book ID
- AN00047770
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- ISSN
- 18813593
- 04514203
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- NDL BIB ID
- 023523016
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed