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혈전성 혈소판감소성 자반증이 동반된 성인형 스틸병

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Affiliated Author(s)
손창남김지민김상현
Alternative Author(s)
Son, Chang NamKim, Ji MinKim, Sang Hyon
Journal Title
대한내과학회지
ISSN
1738-9364
Issued Date
2015
Keyword
Still's disease, Adult-onset(성인형 스틸병)Purpura, Thrombotic thrombocytopenic(혈전성 혈소판 감소성 자반증)
Abstract
Adult-onset Still’s disease (AOSD) is a rare systemic inflammatory disorder that affects multiple organs and is fatal in some
cases. Thrombotic thrombocytopenic purpura (TTP), another rare disease, is characterized by multiple organ failure and microangiopathic
hemolytic anemia. TTP is an extremely rare complication of AOSD. We report a 59-year-old woman who presented
with TTP that manifested after she was diagnosed with AOSD. Initially, her clinical manifestations improved with glucocorticoid
therapy. However, her disease worsened and was accompanied by acute kidney injury, thrombocytopenia, hemolytic anemia, petechiae,
and impaired consciousness. These clinical findings led to a diagnosis of TTP. This is the first report of AOSD complicated
by TTP in Korea. Awareness of the possible development of TTP as a complication of AOSD is important for early diagnosis and
treatment.
Alternative Title
Adult-Onset Still’s Disease with Thrombotic Thrombocytopenic Purpura
Department
Dept. of Internal Medicine (내과학)
Publisher
School of Medicine
Citation
이태한 et al. (2015). 혈전성 혈소판감소성 자반증이 동반된 성인형 스틸병. 대한내과학회지, 89(4), 482–486. doi: 10.3904/kjm.2015.89.4.482
Type
Article
ISSN
1738-9364
DOI
10.3904/kjm.2015.89.4.482
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/33118
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
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