Adult onset Still's disease accompanied by acute respiratory distress syndrome: A case report

Xi,Xiao‑Tu; Wang,Mao‑Jie; Huang,Run‑Yue; Ding,Bang‑Han

doi:10.3892/etm.2016.3512

Adult onset Still's disease accompanied by acute respiratory distress syndrome: A case report

Authors:
- Xiao‑Tu Xi
- Mao‑Jie Wang
- Run‑Yue Huang
- Bang‑Han Ding
View Affiliations

Affiliations: Emergency Department, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine (Guangdong Provincial Hospital of Chinese Medicine), Guangzhou, Guangdong 510006, P.R. China, Rheumatology Department, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine (Guangdong Provincial Hospital of Chinese Medicine), Guangzhou, Guangdong 510006, P.R. China
Published online on: July 11, 2016 https://doi.org/10.3892/etm.2016.3512
Pages: 1817-1821

Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )

Metrics: Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )

Cited By (CrossRef): 0 citations Loading Articles...

Abstract

Adult onset Still's disease (AOSD) is a systemic inflammatory disorder characterized by rash, leukocytosis, fever and arthralgia/arthritis. The most common pulmonary manifestations associated with AOSD are pulmonary infiltrates and pleural effusion. The present study describes a 40-year-old male with AOSD who developed fever, sore throat and shortness of breath. Difficulty breathing promptly developed, and the patient was diagnosed with acute respiratory distress syndrome (ARDS). The patient did not respond to antibiotics, including imipenem, vancomycin, fluconazole, moxifloxacin, penicillin, doxycycline and meropenem, but was sensitive to glucocorticoid treatment, including methylprednisolone sodium succinate. ARDS accompanied by AOSD has been rarely reported in the literature. In conclusion, in a patient with ARDS who does not respond to antibiotic treatment, the involvement of AOSD should be considered.

View Figures

View References

1	Gerfaud-Valentin M, Jamilloux Y, Iwaz J and Sève P: Adult-onset Still's disease. Autoimmun Rev. 13:708–722. 2014. View Article : Google Scholar : PubMed/NCBI
2	Kim YJ, Koo BS, Kim YG, Lee CK and Yoo B: Clinical features and prognosis in 82 patients with adult-onset Still's disease. Clin Exp Rheumatol. 32:28–33. 2014.PubMed/NCBI
3	Jamilloux Y, Gerfaud-Valentin M, Martinon F, Belot A, Henry T and Sève P: Pathogenesis of adult-onset Still's disease: New insights from the juvenile counterpart. Immunol Res. 61:53–62. 2015. View Article : Google Scholar : PubMed/NCBI
4	Cheema GS and Quismorio FP Jr: Pulmonary involvement in adult-onset Still's disease. Curr Opin Pulm Med. 5:305–309. 1999. View Article : Google Scholar : PubMed/NCBI
5	Dua AB, Manadan AM and Case JP: Adult onset Still's disease presenting with acute respiratory distress syndrome: Case report and review of the literature. Open Rheumatol J. 7:125–128. 2013.PubMed/NCBI
6	Hagiyama H, Koike R, Nagasaka K, Nonomura Y, Nishio J, Nanki T, Kohsaka H, Kubota T and Miyasaka N: Two cases of acute respiratory distress syndrome resulting from adult-onset Still's disease. Mod Rheumatol. 13:76–80. 2003. View Article : Google Scholar : PubMed/NCBI
7	Suleiman M, Wolfovitz E, Boulman N and Levy Y: Adult onset Still's disease as a cause of ARDS and acute respiratory failure. Scand J Rheumatol. 31:181–183. 2002. View Article : Google Scholar : PubMed/NCBI
8	ARDS Definition Task Force. Ranieri VM, Rubenfeld GD, Thompson BT, Ferguson ND, Caldwell E, Fan E, Camporota L and Slutsky AS: Acute respiratory distress syndrome: The berlin definition. JAMA. 307:2526–2533. 2012.PubMed/NCBI
9	Carlucci M, Graf N, Simmons JQ and Corbridge SJ: Effective management of ARDS. Nurse Pract. 39:35–40. 2014. View Article : Google Scholar : PubMed/NCBI
10	Ware LB: Pathophysiology of acute lung injury and the acute respiratory distress syndrome. Semin Respir Crit Care Med. 27:337–349. 2006. View Article : Google Scholar : PubMed/NCBI
11	Yamaguchi M, Ohta A, Tsunematsu T, Kasukawa R, Mizushima Y, Kashiwagi H, Kashiwazaki S, Tanimoto K, Matsumoto Y, Ota T, et al: Preliminary criteria for classification of adult Still's disease. J Rheumatol. 19:424–430. 1992.PubMed/NCBI
12	Yamaguchi M, Ohta A, Tsunematsu T, Kasukawa R, Mizushima Y, Kashiwagi H, Kashiwazaki S, Tanimoto K, Matsumoto Y, Ota T, et al: Preliminary criteria for classification of adult Still's disease. J Rheumatol. 19:424–430. 1992.PubMed/NCBI
13	Manzini CU, Brugioni L, Colaci M, Tognetti M, Spinella A, Sebastiani M, Giuggioli D and Ferri C: Elevated troponin serum levels in adult onset Still's disease. Case Rep Rheumatol. 2015:7320952015.PubMed/NCBI
14	Hu Q, Yan Z and Zhong J: Adult-onset Still's disease: How to make a diagnosis in an atypical case. Rheumatol Int. 32:3299–3302. 2012. View Article : Google Scholar : PubMed/NCBI
15	Qi H, Yin C, Xiao H and Duan T: A rare case of diffuse pulmonary nodules in a patient with adult-onset Still's disease. Intern Med. 53:1869–1872. 2014. View Article : Google Scholar : PubMed/NCBI
16	Sato H, Yokoe I, Nishio S, Onishi T, Takao T, Kobayashi Y and Haraoka H: A case of adult onset Still's disease complicated with cryptogenic organizing pneumonia. Intern Med. 50:247–251. 2011. View Article : Google Scholar : PubMed/NCBI
17	Zeng T, Zou YQ, Wu MF and Yang CD: Clinical features and prognosis of adult-onset still's disease: 61 cases from China. J Rheumatol. 36:1026–1031. 2009. View Article : Google Scholar : PubMed/NCBI
18	Ikeue T, Fukuhara A, Watanabe S, Sugita T, Horikawa S, Suzuki Y, Nishiyama H and Maekawa N: A case of severe adult-onset Still's disease presenting with pleuropericarditis. Nihon Kokyuki Gakkai Zasshi. 44:389–393. 2006.(In Japanese). PubMed/NCBI
19	Erickson SE, Martin GS, Davis JL, Matthay MA and Eisner MD: NIH NHLBI ARDS Network: Recent trends in acute lung injury mortality: 1996–2005. Crit Care Med. 37:1574–1579. 2009. View Article : Google Scholar : PubMed/NCBI
20	Hu Y, Wang H and Deng J: Adult-Onset Still's disease associated with thyroid dysfunction: Case report and review of the literature. Open Rheumatol J. 8:9–12. 2014. View Article : Google Scholar : PubMed/NCBI