title: Still's disease relapse with severe pneumonitis after prolonged remission.
abstract: 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.
authors.affiliation: Department of Internal Medicine, Tokyo Medical and Dental University.
authors.forename: H
authors.initials: H
authors.lastname: Yoshinaga
authors.forename: R
authors.initials: R
authors.lastname: Koike
authors.forename: T
authors.initials: T
authors.lastname: Maruyama
authors.forename: H
authors.initials: H
authors.lastname: Iizuka
authors.forename: H
authors.initials: H
authors.lastname: Matsuoka
authors.forename: T
authors.initials: T
authors.lastname: Kubota
authors.forename: N
authors.initials: N
authors.lastname: Miyasaka
mesh_terms: 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
chemical_list: D016756:Immunoglobulins, Intravenous; D003520:Cyclophosphamide; D008775:Methylprednisolone