Artikel Jurnal :: Kembali

Artikel Jurnal :: Kembali

Adult-onset sStills disease as a differential diagnosis in prolonged fever: diagnosis and treatment experience

Felix F Widjaja, Diah Martina, Soroy Lardo, Suryo Anggoro K Wibowo (University of Indonesia. Faculty of Medicine, 2019)

 Abstrak

ABSTRACT
Adult onset Stills disease is a rare systemic disease that may involve many organs and may mimick many disease such as infection, autoimmune disease, and also malignancy. The diagnostic approach and treatment strategies have not been well established due to its rarity; however, there are some diagnostic criteria that may help. We present a case of 36-year old man who experienced high prolonged fever which firstly thought as infection. He also had unilateral wrist and knee joint pain and maculopapular rash. Laboratory examination showed high leukocytes count with elevated polymorphonuclear neutrophil count, high platelet count, high ferritin level, and negative results of many infection markers (typhoid antibody, procalcitonin, malaria test, blood culture, urine culture, IgM pneumonia, ASTO, syphilis test, antiHIV, HBsAg, antiHCV, etc). Chest X-ray, joint X-ray, ultrasonography, and echocardiography showed normal result. The patient was then diagnosed with Adult-onset Stills disease and received intravenous methylprednisolone and the fever was disappeared in 3 days. Six months later the arthralgia appeared again, methotrexate was administered and the pain was then relieved.

 Metadata

Jenis Koleksi : Artikel Jurnal
No. Panggil : 610 UI-IJIM 51:2 (2019)
Entri utama-Nama orang :
Entri tambahan-Nama orang :
Penerbitan : Jakarta: University of Indonesia. Faculty of Medicine, 2019
Sumber Pengatalogan : LibUI eng rda
ISSN : 01259326
Majalah/Jurnal : The Indonesian Journal of Internal Medicine
Volume : Vol. 51, No. 2 April 2019: Hal. 158-164
Tipe Konten : text
Tipe Media : unmediated (rda media)
Tipe Carrier : volume
Akses Elektronik :
Institusi Pemilik : Universitas Indonesia
Lokasi : Perpustakaan UI, Lantai 4, R. Koleksi Jurnal
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No. Panggil No. Barkod Ketersediaan
610 UI-IJIM 51:2 (2019) 03-19-148563609 TERSEDIA
Ulasan:
Tidak ada ulasan pada koleksi ini: 20498082
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