A Case of Adult-onset Still's Disease Associated with Leukopenia.
- Author:
Hyoung Suk LEE
1
;
Jae Wook JUNG
;
Do Hyun SHIN
;
Hyun Ju SONG
;
Jeong Hee CHOI
;
Yoo Jin SUH
;
Dong Ho NAHM
;
Hae Sim PARK
;
Chang Hee SUH
Author Information
1. Department of Allergy-Rheumatology, Ajou University School of Medicine, Suwon, Korea.
- Publication Type:Original Article
- Keywords:
Adult-onset Still's disease;
Leukopenia
- MeSH:
Adult;
Arthralgia;
Arthritis;
Bone Marrow Examination;
Exanthema;
Fever;
Humans;
Leukocytosis;
Leukopenia*;
Lymphohistiocytosis, Hemophagocytic;
Pancytopenia;
Still's Disease, Adult-Onset*
- From:The Journal of the Korean Rheumatism Association
2003;10(2):176-180
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Adult-onset Still's disease (AOSD) is a multi-systemic inflammatory disorder characterized by high spiking fever, evanescent salmon-colored rash, arthralgia or arthritis, leukocytosis and the involvement of various organs. However, leukopenia is rarely associated with AOSD. It may be due to hemophagocytic syndrome, which usually present with acute febrile illness, pancytopenia, hepatosplenomegaly, and hyperferritinemia. We report a case of 28-year-old man with AOSD and leukopenia. There is no evidence of other causes of cytopenia and hemophagocytosis in bone marrow examination. Leukopenia can be the initial presentation of AOSD.