title: Adult-onset Still's disease with submassive hepatic necrosis.
abstract: We present a 74-year old woman who was hospitalized because of typical spiking fever, evanescent rash, polyarthralgia, lymphadenopathy, and marked elevation of serum transaminases and lactate dehydrogenase (LDH) due to adult-onset Still's disease (AOSD) with submassive hepatic necrosis. All of the symptoms and abnormal laboratory findings were dramatically improved after treatment with prednisolone. The clinical course of this patient indicates that AOSD with severe hepatic necrosis can successfully be treated with early administration of corticosteroid, although it remains unknown whether the disease can remain in remission with no or minimal treatment.
authors.affiliation: Department of Medicine, Keiju General Hospital, Ishikawa.
authors.forename: A
authors.initials: A
authors.lastname: Takami
authors.forename: S
authors.initials: S
authors.lastname: Nakao
authors.forename: H
authors.initials: H
authors.lastname: Miyamori
authors.forename: M
authors.initials: M
authors.lastname: Ooi
authors.forename: T
authors.initials: T
authors.lastname: Machi
authors.forename: T
authors.initials: T
authors.lastname: Chujo
authors.forename: T
authors.initials: T
authors.lastname: Nakazawa
authors.forename: Y
authors.initials: Y
authors.lastname: Saito
authors.forename: M
authors.initials: M
authors.lastname: Kanno
authors.forename: T
authors.initials: T
authors.lastname: Matsuda
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D008099:Liver / Q000201:enzymology / Q000473:pathology*; D009336:Necrosis / Q000150:complications; D011239:Prednisolone / Q000627:therapeutic use; D016706:Still's Disease, Adult-Onset / Q000150:complications* / Q000188:drug therapy / Q000201:enzymology
chemical_list: D011239:Prednisolone