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MR Vol.13 No.1 indexに戻る
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MODERN RHEUMATOLOGY
Vol.13 No.1 |
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Two cases of acute respiratory distress syndrome
resulting from adult-onset Still's disease |
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| H. Hagiyama1, R. Koike1, K. Nagasaka1,
Y. Nonomura1, J. Nishio1, T. Nanki1, H. Kohsaka1, T. Kubota1, N.
Miyasaka1 |
| (1) Department of Bioregulatory Medicine and
Rheumatology, Tokyo Medical and Dental University Graduate School,
1-5-45 Yushima,
Bunkyo-ku, Tokyo 113-8519, Japan |
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| Abstract |
| Abstract Adult-onset Still's disease (AOSD) is
a systemic inflammatory disorder of unknown origin. Acute respiratory
distress syndrome (ARDS) is a rare complication of AOSD, with only
nine cases having been reported in the literature. Here, we describe
two cases of AOSD complicated with ARDS that were successfully treated
with immunosuppressive therapy, including corticosteroids. Although
ARDS is a life-threatening complication in AOSD, early commencement
of high-dose corticosteroids and mechanical ventilation improve the
prognosis. |
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| Key words |
| Key words Acute respiratory distress syndrome
(ARDS) ・ Adult-onset Still's disease (AOSD) ・ High-dose
corticosteroids ・ Systemic inflammatory response syndrome (SIRS) |
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