title: Acute respiratory failure revealing adult-onset Still's disease: diagnostic value of low glycosylated ferritin level.
abstract: The authors report three cases of adult-onset Still's disease with severe hypoxemic pulmonary involvement, mimicking severe pulmonary sepsis. Clinicians must be aware of this rare form of such disease. Low (<20%) glycosylated ferritin level in the presence of unexplained prolonged fever with leukocytosis can help in the diagnosis.
authors.affiliation: Department of Internal Medicine, Hôtel-Dieu, Universitary Hospital, Nantes, France.
authors.forename: Charlotte
authors.initials: C
authors.lastname: Biron
authors.forename: Arnaud
authors.initials: A
authors.lastname: Chambellan
authors.forename: Christian
authors.initials: C
authors.lastname: Agard
authors.forename: Michele
authors.initials: M
authors.lastname: Denis
authors.forename: Patrick
authors.initials: P
authors.lastname: Germaud
authors.forename: Mohamed A
authors.initials: MA
authors.lastname: Hamidou
mesh_terms: D000208:Acute Disease; D000328:Adult; D000368:Aged; D003937:Diagnosis, Differential; D005260:Female; D005293:Ferritins / Q000097:blood; D005334:Fever / Q000150:complications / Q000175:diagnosis; D006801:Humans; D016756:Immunoglobulins, Intravenous / Q000627:therapeutic use; D007964:Leukocytosis / Q000150:complications / Q000175:diagnosis; D008297:Male; D008775:Methylprednisolone / Q000627:therapeutic use; D011239:Prednisolone / Q000627:therapeutic use; D012131:Respiratory Insufficiency / Q000150:complications / Q000175:diagnosis*; D018805:Sepsis / Q000150:complications / Q000175:diagnosis*; D016706:Still's Disease, Adult-Onset / Q000097:blood / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D016896:Treatment Outcome; D006023:Glycoproteins
chemical_list: D005293:Ferritins; D016756:Immunoglobulins, Intravenous; D008775:Methylprednisolone; D011239:Prednisolone; C051036:glycosylated ferritin; D006023:Glycoproteins