One case of liver transplantation for liver failure due to adult- onset Still's disease
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摘要: <正>1临床资料患者,女,30岁,因间断关节胀痛1 a,尿黄15 d,面黄、目黄4 d,加重伴头晕2 d于2012年2月5日入院。既往:2010年6月于吉林大学第一医院风湿科诊断为"成人Still病",给予激素及免疫抑制剂治疗,于2010年8月因症状好转停药。同年9月份出现一过性皮疹,再次就诊,继续口服激素,2010年11月逐渐减量,至2011年3月停药。因症状缓解不明显,于2011年4月去上海某医院就诊,诊断"类风湿疾病",自行口服"风湿灵关节炎胶囊"直至发病前1周停药,共约4个月。入院前半个月出现尿黄,4 d前出现面黄、目黄,加重2 d。否认
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关键词:
- Still病,成年型 /
- 肝功能衰竭 /
- 肝移植
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Key words:
- Still's disease, adult-onset /
- liver failure /
- liver transplantation
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[1]FAUTREL B, ZING E, GOLMARD JL, et al.Proposal for a new set of classification criteria for adult-onset still disease[J].Medicine (Baltimore) , 2002, 81 (3) :194-200. [2]YAMAGUCHI M, OHTA A, TSUNEMATSU T, et al.Preliminary criteria for classification of adult Still’s disease[J].J Rheumatol, 1992, 19 (3) :424-430. [3]FAUTREL B, SIBILIA J, MARIETTE X, et al.Tumour necrosis factor:αblocking agents in refractory adult Still’s disease:an observational study of 20 cases[J].Ann Rheum Dis, 2005, 64 (2) :262-266. [4]MA L, QIAN ZJ, ZHAO MJ, et al.Adult-onset Still’s disease and acute severe hepatic lesion[J].Chin J Rheumatol, 2007, 11 (8) :489-491. (in Chinese) 马丽, 钳志晶, 赵孟君, 等.成人Still病与急性重度肝损害[J].中华风湿病学杂志, 2007, 11 (8) :489-491. [5]ZHAO JX, WANG GY, ZHANG HY, et al.Therapeutic effect of transplantation of mesenchymal stem cells on acute liver failure in mice[J].J Jilin Univ:Med Edit, 2013, 39 (1) :12-15. (in Chinese) 赵继学, 王广义, 张海玉, 等.骨髓间充质干细胞移植对小鼠急性肝功能衰竭的治疗作用[J].吉林大学学报:医学版, 2013, 39 (1) :12-15. [6]BERNAL W, WENDON J.Liver transplantation in adults with acute liver failure[J].J Hepatol, 2004, 40 (2) :192-197. [7]WANG JY, XU CT.The treatment progress of acute liver failure[J].J Clin Hepatol, 2007, 23 (5) :334-336. (in Chinese) 王吉耀, 徐传涛.急性肝衰竭的治疗进展[J].临床肝胆病杂志, 2007, 23 (5) :334-336. [8]VOIGT MD.Predicting death in patients with acetaminophen-induced acute liver failure:the King’s College Hospital model is on the SOFA, not the mat[J].liver Transpl, 2012, 18 (4) :384-386.
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