Adult Onset Still's Disease as a Cause of Acute Severe Mitral and Aortic Regurgitation.
10.3904/kjim.2005.20.3.264
- Author:
Jae Seung LEE
1
;
Il No DO
;
Deok Hyun KANG
;
Seok Jung JOO
;
Bin YOO
;
Hee Bom MOON
;
Chang Keun LEE
Author Information
1. Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea. cklee@amc.seoul.kr
- Publication Type:Case Report
- Keywords:
Adult onset Still's disease;
Mitral regurgitation;
Aortic regurgitation
- MeSH:
Time Factors;
Still's Disease, Adult-Onset/*complications;
Mitral Valve Insufficiency/*etiology/pathology;
Middle Aged;
Humans;
Female;
Aortic Valve Insufficiency/*etiology/pathology;
Age Factors;
Acute Disease
- From:The Korean Journal of Internal Medicine
2005;20(3):264-267
- CountryRepublic of Korea
- Language:English
-
Abstract:
Adult onset Still's disease (AOSD) is an uncommon acute systemic inflammatory disease of unknown origin. The clinical features include high spiking fever, arthralgia or arthritis, transient maculopapular rash, lymphadenopathy, hepatosplenomegaly, and serositis. Pericarditis is the most common cardiac manifestation of AOSD and occurs in approximately 30% of cases. A simultaneous occurrence of rapidly progressive bi-valvular regurgitation associated with AOSD has not been previously described. We report a case of a 55-year old woman who underwent mitral valve replacement and Bentall's operation due to acute severe mitral and aortic regurgitation associated with AOSD.