Bülent ALTINSOY, Ayşe ERTÜRK

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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