PDF(Pubmed)
Abstract：
Still\'s disease is frequently a condition of exclusion for patients with an unidentified cause of fever. Accompanying symptoms typically include fever, arthralgia, and a transient skin rash. The underlying pathophysiology indicates an autoimmune origin. Diagnosis is primarily clinical, often utilizing the Yamaguchi criteria. The case in question involves a 19-year-old male presenting with high-grade fever and paralytic ileus. The patient received intravenous glucocorticoids and cyclophosphamide, resulting in a rapid clinical improvement. During the follow-up, tofacitinib was initiated based on the clinical response observed.
摘要：
斯蒂尔病通常是发热原因不明的患者的排斥状态。伴随症状通常包括发烧，关节痛,还有短暂的皮疹.潜在的病理生理学表明自身免疫起源。诊断主要是临床，经常利用山口标准。案件涉及一名19岁男性，表现为高烧和麻痹性肠梗阻。患者接受静脉注射糖皮质激素和环磷酰胺，导致快速的临床改善。在后续行动中,根据观察到的临床反应开始使用托法替尼.
