成人スティル病
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出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2020/08/23 04:16:30」(JST)
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AOSD can refer to:
- Adult-onset Still's disease
- Aspect-oriented software development
- Army Operations Security Detachment, a subordinate unit of the United States Army 902nd Military Intelligence Group
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- 1. 成人スティル病の臨床症状および診断clinical manifestations and diagnosis of adult stills disease [show details]
…have been few reports of cases in twins . Adult Still disease is very uncommon. A retrospective French study estimated the annual incidence of adult Still disease (ASD) to be 0.16 cases per 100,000 people …
- 2. 成人スティル病の治療treatment of adult stills disease [show details]
… Adult Still disease (ASD) is an inflammatory disorder characterized by quotidian (daily) fevers, arthritis, and an evanescent rash. The disease can have a monophasic, intermittent, or chronic course. …
- 3. 学会が公開する診療ガイドラインのリンク:成人のスチル病society guideline links adult stills disease [show details]
…Japanese Ministry of Health, Labour, and Welfare: Evidence-based clinical practice guideline for adult Still disease (2018)…
- 4. 成人における不明熱の病因etiologies of fever of unknown origin in adults [show details]
…FUO in older adults . Adult Still disease is an inflammatory disorder characterized by quotidian (daily) fevers, arthritis, and an evanescent rash. Patients with adult Still disease have features similar …
- 5. 全身性自己免疫疾患における心膜病変pericardial involvement in systemic autoimmune diseases [show details]
…and an evanescent, salmon-colored rash typically found on the trunk. In the 70s, the term "adult Still disease" (ASD) was used to describe a series of adult patients who did not fulfill criteria for classic …
English Journal
Japanese Journal
- Interleukin-18 and fibroblast growth factor 2 in combination is a useful diagnostic biomarker to distinguish adult-onset Still's disease from sepsis
- Koga Tomohiro,Sumiyoshi Remi,Furukawa Kaori,Sato Shuntaro,Migita Kiyoshi,Shimizu Toshimasa,Umeda Masataka,Endo Yushiro,Fukui Shoichi,Kawashiri Shin-ya,Iwamoto Naoki,Ichinose Kunihiro,Tamai Mami,Nakamura Hideki,Origuchi Tomoki,Nonaka Fumiaki,Yachie Akihiro,Kondo Hideaki,Maeda Takahiro,Kawakami Atsushi
- Arthritis Research & Therapy 22(1), 108, 2020-05-07
- … Objective: To identify potential biomarkers to distinguish adult-onset Still's disease (AOSD) from sepsis. … Method: We recruited 70 patients diagnosed with AOSD according to the Yamaguchi criteria, 22 patients with sepsis, and 118 age-matched controls. … We performed a cluster analysis of each cytokine in the AOSD and sepsis groups in order to identify specific molecular networks. …
- NAID 120006847158
- 症例報告 メトトレキサート併用が奏効した成人Still病の1例
- 渡部 茉耶,森田 知世,栁瀬 哲至
- 臨床皮膚科 = Japanese journal of clinical dermatology 74(2), 151-156, 2020-02
- NAID 40022176090
- Adult-onset Still's disease with macrophage activation syndrome diagnosed and treated based on cytokine profiling: a case-based review
- Goda Ken,Kenzaka Tsuneaki,Hoshijima Masahiko,Yachie Akihiro,Akita Hozuka
- Rheumatology International 40(1), 145-152, 2020-01
- … Adult-onset Still's disease (AOSD) is a relatively rare systemic inflammatory disorder and is diagnosed using various sets of classification criteria, with the Yamaguchi criteria as the most widely used criteria. … However, by analyzing the inflammatory cytokine profile, we defined this case as AOSD based on a greatly elevated serum interleukin-18 level. … Therefore, we suggest that cytokine profiling will be useful for the diagnosis and management of AOSD. …
- NAID 120006786955
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- 成人発症スティル病(AOSD)
- disease:AOSD)は高熱(弛張熱),関節症状,皮疹を主徴とした炎症性 疾患であり40代を中心とした成人に好発する.自己抗体は通常陰性であ
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- 英
- adult-onset Still's disease AOSD, adult-onset Still disease, adult Still's disease
- 同
- 成人発症スチル病、成人発症Still病、成人スチル病、成人Still病
- 関
- アレルギー性亜敗血症、スティル病、若年性関節リウマチ
[show details]
概念
診断基準
- 参考4 YN.F-47
大項目
- 1. 発熱(39℃以上、1週間以上持続)
- 2. 関節痛(2週間以上持続)
- 3. 定型的皮疹(体幹・四肢近位部にサーモンピンク様皮疹、ケブネル現象陽性)
- 4. 白血球増加(10000/μl以上、好中球80%以上)
小項目
- 1. 咽頭痛
- 2. リンパ節腫脹または脾腫
- 3. 肝機能異常
- 4. リウマトイド因子および抗核抗体陰性
除外項目
- 感染症(特に敗血症・伝染性単核症)、悪性腫瘍(特にリンパ腫)、膠原病(特に多発性動脈炎、悪性関節リウマチ)
診断
- 大症状2項目以上を含み、合計5項目以上で成人Still病と診断する。血清フェリチンの異常高値は診断の参考とする。
検査
参考
- http://www.collagen-disease.com/_src/sc2405/83X83e83B838B95a8ECA905E.jpg
- http://img2.blogs.yahoo.co.jp/ybi/1/1a/52/fukusama1019/folder/1092861/img_1092861_57599288_0?1262257060
- http://www.hospital.japanpost.jp/fukuoka/health/pdf/ProfileNo.43.pdf
- http://www8.ocn.ne.jp/~halfboil/criteria/tab-f11.html
- http://www.nanbyou.or.jp/entry/282
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