Hemophagocytic syndrome and adult Still's disease associated with meningoencephalitis and unconsciousness.
Intern Med
; 40(10): 1037-40, 2001 Oct.
Article
en En
| MEDLINE
| ID: mdl-11688830
ABSTRACT
We describe a 19-year-old woman with hemophagocytic syndrome and adult Still's disease who showed rare features of central neurological involvement, including cerebellar symptoms and the sudden onset of unconsciousness with pleocytosis in the cerebrospinal fluid during the early course of the illness. As this patient's serum showed a high level of interferon-gamma and soluble interleukin 2 receptor, this might play a pathologic role in the development of central nervous system symptoms. Intensive treatment consisting of methylprednisolone pulse therapy followed by the oral administration of methylprednisolone and cyclosporine, as well as plasma exchange, was found to achieve good results.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Virus de la Influenza A
/
Inconsciencia
/
Histiocitosis de Células no Langerhans
/
Enfermedad de Still del Adulto
/
Gripe Humana
/
Meningoencefalitis
Tipo de estudio:
Risk_factors_studies
Límite:
Adult
/
Female
/
Humans
Idioma:
En
Revista:
Intern Med
Asunto de la revista:
MEDICINA INTERNA
Año:
2001
Tipo del documento:
Article