1. [Untitled]
- Author
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G.J. den Ottolander, H.L.K. Janssen, J.M. van Laar, B. van Hoek, J.H.J.M. van Krieken, and Ferdinand C. Breedveld
- Subjects
Hepatitis ,medicine.medical_specialty ,Adult Still's disease ,Physiology ,business.industry ,Anemia ,Gastroenterology ,Pure red cell aplasia ,Still Disease ,Hepatology ,medicine.disease ,Prednisone ,Internal medicine ,Immunology ,medicine ,Aplastic anemia ,business ,medicine.drug - Abstract
Adult-onset Still's disease is a systemic inflammatory disorder with a highly variable clinical course. Mild hepatitis and anemia are common manifestations. We describe a patient with adult Still's disease who developed a severe hepatitis and a life-threatening pure red cell aplasia. The hepatitis developed after treatment with NSAIDs was started. The patient was successfully treated with a combination of prednisone, cyclosporin, and methotrexate. Physicians should be aware that severe hepatitis and pure red cell aplasia can occur in adult Still's disease. We recommend a careful monitoring of liver functions in patients with adult Still's disease who are being treated with NSAIDs.
- Published
- 1999
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