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J Korean Soc Emerg Med > Volume 22(1); 2011 > Article
Journal of The Korean Society of Emergency Medicine 2011;22(1): 112-115.
Case of Adult-onset Still's Disease with Anaphylatic Shock and Acute Kidney Failure
Chang Yop Kim, Young Hyun Yun, Jun Young Chung, Won Suk Lee
Department of Emergency Medicine, Dong-A University College of Medicine, Busan, Korea. medulla@dau.ac.kr
ABSTRACT
Adult-onset Still's disease is an uncommon systemic inflammatory disease of unknown etiology and pathogenesis. It is characterized by an evanescent rash, spiking fever (>39degrees), arthralgia, sore throat, abnormal liver function tests and leukocytosis (>10,000/mm3). We report a case involving a 41-year-old male with initial symptoms suggestive of anaphylactic and septic shock. Steroid therapy led to recovery. Adult-onset Still's disease was ultimately confirmed.
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