title: [A case of hemophagocytic syndrome with severe liver injury manifestating adult Still's disease].
abstract: In April 1988, a 23 year-old woman developed high fever, arthralgia, eruptions and splenomegaly. She was treated with non Steroid anti-inflammatory drugs, and the symptoms disappeared. In June 1991, she was diagnosed as adult Still's disease and treated with prednisolone. In July 1994, she was treated with pulse therapy methylprednisolone due to high fever, eruptions, arthralgia and the high levels of ferritin. However, due to the marked increase of serum transaminase and bilirubin levels, she was referred to University hospital. She developed hepatic failure after admission Bone-marrow puncture revealed hemophagocytosis. She died ten days after admission. She was diagnosed as hemophagocytic syndrome combined with acute hepatic failure.
authors.affiliation: Third Department of Internal Medicine, Ehime University School of Medicine Tushima Public Hospital.
authors.forename: M
authors.initials: M
authors.lastname: Ishikawa
authors.forename: T
authors.initials: T
authors.lastname: Masumoto
authors.forename: T
authors.initials: T
authors.lastname: Oguni
authors.forename: N
authors.initials: N
authors.lastname: Hyoudou
authors.forename: K
authors.initials: K
authors.lastname: Michitaka
authors.forename: N
authors.initials: N
authors.lastname: Horiike
authors.forename: M
authors.initials: M
authors.lastname: Onji
mesh_terms: D000328:Adult; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D017809:Fatal Outcome; D005260:Female; D015616:Histiocytosis, Non-Langerhans-Cell / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D017093:Liver Failure / Q000209:etiology*; D008775:Methylprednisolone / Q000627:therapeutic use; D011239:Prednisolone / Q000627:therapeutic use; D016706:Still's Disease, Adult-Onset / Q000150:complications* / Q000188:drug therapy
chemical_list: D000893:Anti-Inflammatory Agents; D011239:Prednisolone; D008775:Methylprednisolone