糖尿病合并Still病老年患者1例诊治
发布时间：2018-08-31 10:08
【摘要】：成人Still病(adult onset Still's disease,AOSD)是一种以长时间间歇高热、一过性皮疹、关节炎或关节痛为主要表现,伴有粒细胞增高,肝、脾及淋巴结肿大等多系统受累的临床综合征。1例71岁2型糖尿病患者出现高热、皮疹、关节痛及粒细胞增高,在多次复查铁蛋白后确诊为AOSD。临床医师需提高对该病的认识以便作出早期诊断。对于老年糖尿病患者,即使早期铁蛋白不高,但当临床上症状及体征符合,尤其抗感染治疗效果差时,须高度怀疑该病,并及时多次复查铁蛋白以早期明确诊断。
[Abstract]:Adult Still's disease (adult onset Still's disease,AOSD) is characterized by a long period of intermittent high fever, transient rash, arthritis or joint pain, accompanied by granulocyte elevation, liver, Clinical syndrome with multiple system involvement such as splenomegaly and lymphadenopathy. 1 cases of type 2 diabetes mellitus aged 71 years with high fever, rash, arthralgia and granulocyte. AOSD. was diagnosed after repeated examination of ferritin. Clinicians need to raise awareness of the disease in order to make early diagnosis. For the elderly patients with diabetes, even if the early ferritin is not high, but when the clinical symptoms and signs are consistent, especially when the effect of anti-infection treatment is poor, the disease should be highly suspected, and the ferritin should be re-examined several times in time for early and definite diagnosis.
【作者单位】： 海南省人民医院内分泌科;中南大学湘雅二医院代谢内分泌研究所;
【基金】：海南省卫生和计划生育委员会重点科研课题(琼卫2010-重点-32)~~
【分类号】：R587.1;R593.2
本文编号：2214668
[Abstract]:Adult Still's disease (adult onset Still's disease,AOSD) is characterized by a long period of intermittent high fever, transient rash, arthritis or joint pain, accompanied by granulocyte elevation, liver, Clinical syndrome with multiple system involvement such as splenomegaly and lymphadenopathy. 1 cases of type 2 diabetes mellitus aged 71 years with high fever, rash, arthralgia and granulocyte. AOSD. was diagnosed after repeated examination of ferritin. Clinicians need to raise awareness of the disease in order to make early diagnosis. For the elderly patients with diabetes, even if the early ferritin is not high, but when the clinical symptoms and signs are consistent, especially when the effect of anti-infection treatment is poor, the disease should be highly suspected, and the ferritin should be re-examined several times in time for early and definite diagnosis.
【作者单位】： 海南省人民医院内分泌科;中南大学湘雅二医院代谢内分泌研究所;
【基金】：海南省卫生和计划生育委员会重点科研课题(琼卫2010-重点-32)~~
【分类号】：R587.1;R593.2
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