A case of adult Still's disease occurred during pregnancy

Kenji Izuhara, Hiroko Takeda, Hiroaki Niiro, Seiji Motomura, Masafumi Shindou, Masahiro Kitajima, Haruhide Ishikawa, Michiko Tokunaga

Research output: Contribution to journalArticle

Abstract

A case of adult Still's disease occurred during pregnancy was reported. A 30-year-old woman in the 18th week of pregnancy was admitted because of fever and polyarthralgia. She had an episode of unknown fever suggesting adult Still's disease at the age of 19. Physical examinations revealed lymphadenopathy, hepatosplenomegaly and swelling of many joints in decreased motion. A macular rash which had appeared with fever was present on the legs. Laboratory data revealed rapid ESR, neutrophilia, mild liver dysfunction, positive CRP and elevation of serum ferritin. A diagnosis of probable adult Still's disease was made because other febrile diseases were denied. After admission, she was treated with aspirin, resulted in exacervation of liver dysfunction, but was much improved with naproxen. Intrauterine growth retardation was suggested at one time, but at the 38th week of gestation, she delivered a healthy baby with no problems and no recurrence has been occurred till now. Six cases of adult Still's disease occurred during pregnancy are reported including the present case and discussions were made on such cases in the present paper.

Original languageEnglish
Pages (from-to)633-638
Number of pages6
JournalJapanese Journal of Clinical Immunology
Volume14
Issue number6
DOIs
Publication statusPublished - Jan 1 1991
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Immunology and Allergy
  • Immunology

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