关键词: adult-onset still's disease guillain-barre syndrome lung involvement neurological involvement steroids

来  源:   DOI:10.7759/cureus.62162   PDF(Pubmed)

Abstract:
Adult-onset Still\'s disease (AOSD) is a rare auto-inflammatory disorder with unknown pathophysiology. Although having a heterogeneous clinical spectrum, the major features of AOSD include fever, rash, and arthritis or arthralgia. Neurological involvement is rare in AOSD with aseptic meningitis being the most common presentation. Guillain-Barre syndrome (GBS) has never been reported as an early presentation of AOSD. Herein, we describe the case of a patient presenting with GBS and fever of unknown origin who was soon diagnosed with AOSD and improved with corticosteroid therapy.
摘要:
成人发作的斯蒂尔病(AOSD)是一种罕见的自身炎症性疾病,其病理生理学未知。尽管具有异质性的临床谱,AOSD的主要特征包括发烧,皮疹,关节炎或关节痛。在AOSD中,神经系统受累很少,无菌性脑膜炎是最常见的表现。格林-巴利综合征(GBS)从未被报道为AOSD的早期表现。在这里,我们描述了一例出现GBS和不明原因发热的患者,该患者很快被诊断为AOSD,并通过皮质类固醇治疗得到改善.
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