医学
浆膜炎
急诊科
喉咙痛
皮疹
黄疸
肝病
疾病
肝损伤
内科学
儿科
外科
精神科
作者
Suleyman Cem Adiyaman,Göksel Bengi,M Civak,Merih Birlik,Ziya Kuruüzüm,Cigdem Altay,Mujdat Soyturk
出处
期刊:PubMed
日期:2020-04-01
卷期号:23 (4): 581-585
标识
DOI:10.4103/njcp.njcp_1_19
摘要
Adult-onset Still's disease is a systemic inflammatory disease that often presents with spiking fever, typical rash, arthritis, and serositis. However, adult-onset-Still's-disease associated liver injury and acute liver failure are rare. Herein, we report a case of acute liver injury in a 23-year-old female patient with adult-onset Still's disease. She presented to the emergency department with a high fever and sore throat. She was then admitted to the department of infectious diseases with a preliminary diagnosis of an atypical respiratory infection. After being treated with antibiotics and antiviral agents, she was discharged. A few days later, she returned to the emergency department with jaundice and was rehospitalized. This time, she was admitted to the department of gastroenterology, where she was diagnosed with adult-onset Still's disease-associated acute liver injury. Eventually, the patient responded to immunosuppressive treatment with significant clinical improvement.
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