RESUMO
The authors report three cases of adult-onset Still's disease with severe hypoxemic pulmonary involvement, mimicking severe pulmonary sepsis. Clinicians must be aware of this rare form of such disease. Low (<20%) glycosylated ferritin level in the presence of unexplained prolonged fever with leukocytosis can help in the diagnosis.
Assuntos
Insuficiência Respiratória/diagnóstico , Sepse/diagnóstico , Doença de Still de Início Tardio/diagnóstico , Doença Aguda , Adulto , Idoso , Diagnóstico Diferencial , Feminino , Ferritinas/sangue , Febre/complicações , Febre/diagnóstico , Humanos , Imunoglobulinas Intravenosas/uso terapêutico , Leucocitose/complicações , Leucocitose/diagnóstico , Masculino , Metilprednisolona/uso terapêutico , Prednisolona/uso terapêutico , Insuficiência Respiratória/complicações , Sepse/complicações , Doença de Still de Início Tardio/sangue , Doença de Still de Início Tardio/complicações , Doença de Still de Início Tardio/tratamento farmacológico , Resultado do TratamentoRESUMO
This study aimed to identify the characteristics of current Canadian intervention programs designed to support father involvement. Sixty-one projects in the 10 provinces constituted the sample. Results show that most of the projects operate on limited budgets. The activities they offer mostly target fathers themselves to the exclusion of key people in their social environment. The discussion underscores the strenghts and weaknesses of father support programs, and guidelines for future intervention in this area are proposed.