中国麻风皮肤病杂志 ›› 2023, Vol. 39 ›› Issue (1): 35-37.doi: 10.12144/zgmfskin202301035

• 病例报告 • 上一篇    下一篇

表现为持续性瘙痒性斑块的成人Still病一例

林玉凤,李芳谷,徐永慧,董丹丹,史建强   

  1. 广东医科大学附属医院皮肤科，广东湛江，524001
  • 出版日期:2023-01-15 发布日期:2022-11-28

Adult-onset Still's disease with persistent pruritus plaque: a case report

LIN Yufeng, LI Fanggu, XU Yonghui, DONG Dandan, SHI Jianqiang   

  1. Department of Dermatology, Affiliated Hospital of Guangdong Medical University, Zhanjiang 524001, China
  • Online:2023-01-15 Published:2022-11-28

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摘要： 患者，女，58岁。全身持续性瘙痒性斑块伴发热20天。血清铁蛋白增高，血常规白细胞、中性粒细胞升高，肝功能异常，脾大。皮损组织病理示：棘层中上部见角化不良细胞，真皮浅层血管周围见淋巴细胞和嗜酸粒细胞浸润。诊断：成人Still病。予糖皮质激素及甲氨蝶呤治疗，病情好转。

关键词: Still病, 成人, 瘙痒, 持续性

Abstract: A 58-year-old female presented with systemic persistent itch plaques associated with fever for 20 days. With higer serum ferritin levels, the results of blood routine showed that the number of white blood cells and Neutrophils increased, abnormal liver function and splenomegaly. Pathology showed a few dyskeratosis cells in the upper stratum spinous, and lymphocytes and eosinophils infiltrated around blood vessels in the superficial dermis. The diagnosis of adult Still's disease was made. Glucocorticoid and methotrexate were given, and the condition improved.

Key words: Still's disease, adult-onset, pruritus, persistent