[Still's disease: atypical manifestations and potential markers of severe visceral disease].
We present two patients with Still's disease which, in addition to the typical clinical manifestations, showed rare visceral alterations. The first case referred abdominal pain and a sustained hyperamilasemia was detected. The second case suffered a severe multiple organic failure, characterized by hepatic failure, with electric signs of encephalopathy, hydroelectrolytic disorder, rhabdomyolysis and disseminated intravascular coagulation. During this episode, we detected hyponatremia, reduction of leukocytes and normalization of GSR, modifications already described by other authors in cases similar to these ones, although without considered relevant until now. We comment these results and their value as markers of visceral affectation.
Rivero Puente
A
A
Hospital Virgen del Camino, Departamento Navarro de Salud, Pamplona.
Sánchez-Alvarez
J
J
Pérez-García
C
C
Acha Arrieta
M V
MV
García de Lucas
M D
MD
Rivero Marcotegui
M
M
D000293:Adolescent; D001171:Arthritis, Juvenile / Q000175:diagnosis* / Q000503:physiopathology*; D005260:Female; D006801:Humans; D008107:Liver Diseases / Q000209:etiology; D008297:Male; D009102:Multiple Organ Failure / Q000209:etiology; D010182:Pancreatic Diseases / Q000209:etiology; D012206:Rhabdomyolysis / Q000209:etiology
Enfermedad de Still: manifestaciones atípicas y posibles marcadores de afectación visceral severa.