The discussion of adult Still diseases' diagnosis and treatment
- VernacularTitle:成人Still病诊治探讨
- Author:
Zhongwei TAO
- Publication Type:Journal Article
- Keywords:
adult onset still's disease;
glycosylated ferritin;
ferritin
- From:
Chinese Journal of Practical Internal Medicine
2000;0(12):-
- CountryChina
- Language:Chinese
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Abstract:
The diagnosis of adult-onset still's disease currently reguires application of Yamaguchi's criteria and then exclusion of infectious,neoplastic and other rheumatic disorder.A recent article suggests that very high level of serum ferritin together with an unusually low percentage of glycosylated ferritin may serve as diagnostic criteria or even as a marker of disease progression.This new indicator has greater specificity than the others,including that of Yamaguchi.Ferritin and giycosylated ferritin levels are interesting diagnostic markers.The new score suggested by Fautrel et al.is especially useful in that it does not reguire the exclusion of a list of differential diagnoses.The recently reported use of anticytokine agents in patients refractory to conventional treatment is also reviewed in this article.
