Plörezinin nadir bir nedeni olan erişkin Still hastalığı: Olgu sunumu

Erişkin Still hastalığı (ESH) nadir, nedeni bilinmeyen sistemik enflamatuvar bir hastalıktır. ESH'nin en çok görüldüğü yaşlar 16-35 olmasına karşın, 60 yaş üzerinde birkaç olgu rapor edilmiştir. Tanı klinik ve laboratuvar bulgularının kombinasyonu ile olası diğer hastalıkların dışlanmasına dayanır. Diğer romatolojik hastalıkların aksine ESH'nin pulmoner tutulumuna çok az dikkat edilmiştir. Pulmoner tutulum kendini başlıca plörezi ve pulmoner infiltrasyonlar şeklinde gösterir. Hastalığın pulmoner tutulumu sık değildir ve bugüne kadar sadece birkaç olguda torasentez bulguları tanımlanmıştır. Bu olgu sunumunda plöropulmoner tutulumu olan 70 yaşında olgu plevral sıvı bulguları eşliğinde sunuldu.

Adult Still's disease that is a rare cause for pleurisy: A case report

Adult Still's disease (ASD) is rare and systemic inflammatory disease with unknown etiology. Although ASD is most commonly seen in 16-35 years of age, several cases have been reported after the age of 60. Diagnosis is made with the combination of clinical and laboratory findings and exclusion of the other probable diseases. On the contrary of the other rheumatologic diseases, pleuropulmonary manifestation is generally overlooked. Pleurisy and pulmonary infiltrations are common findings as pleuropulmonary manifestations. Pleuropulmonary manifestation is not common and in only some cases analyses of pleural fluid results are identified. We report a case of adult Still's disease in a 70-year-old-woman presenting with pleurisy and pneumonia and with her findings of pleural fluid analysis.

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1. Efthimiou P, Paik PK, Bielory L. Diagnosis and management of adult onset Still's disease. Ann Rheum Dis 2006; 65: 564-72.
2. Magadur-Joly G, Billaud E, Barrier JH, Pennec YL, Masson C, Renou P, Prost A. Epidemiology of adult Still’s disease: estimate of the incidence by a retrospective study in west France. Ann Rheum Dis 1995; 54: 587-90.
3. Cheema GS, Quismorio FP Jr. Pulmonary involvement in adult-onset Still's disease. Curr Opin Pulm Med 1999; 5: 305-9.
4. Yamaguchi M, Ohta A, Tsunematsu T: Preliminary criteria for classification of adult Still’ disease. J Rheumatol 1992; 19: 424-30.
5. Mattiuzzo M, Del Forno M, Branca B, Moretti V, Pirisi M. Bilateral empyema caused by adult-onset Still's disease. Respiration 2001; 68: 88-90.
6. Ohta A, Yamaguchi M, Kaneoka H, Nagayoshi T, Hiida M. Adult Still’s disease: review of 228 cases from the literature. J Rheumatol 1987; 14: 1139-46.
7. Pouchot J, Sampalis JS, Beaudet F, Carette S, Décary F, Salusinsky-Sternbach M, Hill RO, Gutkowski A, Harth M, Myhal D, et al. Adult Still's disease: manifestations, disease course, and outcome in 62 patients. Medicine (Baltimore). 1991; 70: 118-36.
8. Falkenbach A, Lembcke B, Schneider M, Wigand R, Muler-Ernst R, Caspary W: Polyserositis with adult Still’s disease onset during pregnancy. Clin Rheumatol 1994; 13: 513-7.
9. Zheng MH, Chen YP. A rare clinical manifestation of adult-onset Still s disease: polyserositis and effusions. Journal of Chinese Clinical Medicine 2006; 1: 330-1.