Stellate Ganglion Block for the Treatment of Adult Onset Still's Disease: A case report .
10.4097/kjae.1998.35.1.186
- Author:
Bum Soo CHEON
1
;
Heung Kwan CHUNG
;
Il Soo KYOUN
;
Jae Hyouk JUNG
;
Young Bae SEO
Author Information
1. Department of Anesthesiology and 1Internal Medicine, Pohang Sunlin Hospital, Pohang, Korea.
- Publication Type:Case Report
- Keywords:
Anesthetic technique: regional;
stellate ganglion block;
Rheumatoid arthritis : adult onset Still's disease
- MeSH:
Adrenal Cortex Hormones;
Adult*;
Anti-Inflammatory Agents, Non-Steroidal;
Arthralgia;
Bupivacaine;
Diagnosis;
Exanthema;
Female;
Fever;
Humans;
Lymph Nodes;
Pain Clinics;
Stellate Ganglion*;
Still's Disease, Adult-Onset*
- From:Korean Journal of Anesthesiology
1998;35(1):186-189
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 31-year-old woman was referred to our pain clinic department under the diagnosis of an adult onset Still's disease. She had been suffering from high fever, skin rash, multiple arthralgia, morning stiffness and lymph node enlargement for 16 months. She had taken conventional medication with steroid and NSAIDs, but the symptoms were a remittent nature. And also, she complained of systemic side effects of corticosteroids. Stellate ganglion block with 0.25% bupivacaine was performed 67 times for the treatment of adult onset Still's disease and then, her symptoms were improved eventually. We could discontinue steroid and NSAIDs, laboratory data were satisfactory. As we experienced an adult onset still's disease improved with stellate ganglion block, we report this case with a review of the literature.
