Still's disease relapse with severe pneumonitis after prolonged remission.
A 20-year-old woman who had suffered from Still's disease was admitted for fever and progressive pneumonitis after long-term remission. High spiking fever, leukocytosis, splenomegaly and an extremely high serum ferritin concentration strongly suggested a relapse of Still's disease. Intensive therapy with high-dose methylprednisolone, cyclophosphamide and gamma globulin was required for the severe pneumonitis, which was thought to be a rare manifestation in Still's disease.
Yoshinaga
H
H
Department of Internal Medicine, Tokyo Medical and Dental University.
Koike
R
R
Maruyama
T
T
Iizuka
H
H
Matsuoka
H
H
Kubota
T
T
Miyasaka
N
N
D000328:Adult; D001171:Arthritis, Juvenile / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D003520:Cyclophosphamide / Q000008:administration & dosage; D005260:Female; D006801:Humans; D016756:Immunoglobulins, Intravenous / Q000008:administration & dosage; D008775:Methylprednisolone / Q000008:administration & dosage; D011014:Pneumonia / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D012008:Recurrence; D012131:Respiratory Insufficiency / Q000150:complications; D013921:Thrombocytopenia / Q000150:complications; D013997:Time Factors
D016756:Immunoglobulins, Intravenous; D003520:Cyclophosphamide; D008775:Methylprednisolone