Clinical analysis and literature review of adult onset Still's disease with interstitial lung diseases
10.3760/cma.j.issn.1007-7480.2019.09.003
- VernacularTitle: 成人斯蒂尔病合并间质性肺疾病临床分析
- Author:
Sainan BIAN
1
;
Wei BAI
;
Xiaomei LENG
;
Xiaofeng ZENG
Author Information
1. Department of Rheumatology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College (Key Laboratory of Rheumatology and Clinical Immmunology, Ministry of Education), Beijing 100730, China
- Publication Type:Journal Article
- Keywords:
Still'
s disease, adult-onset;
Lung diseases, interstitial;
Glucocorticoids
- From:
Chinese Journal of Rheumatology
2019;23(9):588-592
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the clinical characteristics of patients with adult onset Still's disease (AOSD) with interstitial lung diseases (ILD), and review the literature.
Methods:The medical records of inpatients with AOSD and ILD from January 2000 to October 2017 were retrospectively analyzed, and pa-pers were searched and summarized with the key words "adult onset Still's disease" and "interstitial lung diseases". Kolmogorov-Smirnov test was used to test if variables met normal distribution. Measurement data which was normally distributed was described as Mean±SD. Measurement data which was not normally distributed was described as median and interquartile range.
Results:Among the 15 patients included in the study, six were male, and nine were female, and the mean age was (50±12) years. All of the 15 patients had fever, and the average temperature was (39.4±0.4) ℃. Eleven patients had rash, and 12 patients had arthralgia, seven patients presented with cough, and eight patients presented with short of breath. The high resolution computed tomography of the chest presented as ground glass opacity in nine patients, grid shadow in three patients and consolidation in three patients. All the 15 patients received glucocorticoids, and 10 patients received immunosuppressants at the same time. One patient was lost to follow up, four patients died (three patients died of respiratory failure and one patient died of myocardial infarction), 10 patients improved.
Conclusion:Patients with AOSD can also have ILD, which should be alerted by clinicians. Early treatment with glucocorticoids and immunosuppressants if infection is excluded may bring good prognosis, and it is easy to relapse when glucocorticoids is tapered off.
