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Wysłany: Śro 8:29, 30 Mar 2011 Temat postu: Adult Still disease with organizing pneumonia case |
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Adult Still disease with a case of organizing pneumonia
In the few reports . Adult Still disease can affect many body systems and organs,[link widoczny dla zalogowanych], but lung involvement are relatively small. When lung involvement in patients with severe acute respiratory failure may occur , or acute respiratory distress syndrome, requiring mechanical ventilation. The course of patients with lung lesions increased gradually extended , easily misdiagnosed as After diagnosis , the low dose glucocorticoid therapy, pulmonary lesions rapidly absorbed in the short term . See clinicians in dealing with the shadow of fever in patients with lung , attention should be combined with its functional status of systemic multi-system , comprehensive judgments. First, from the analysis of the nature of disease identification, to determine whether infectious disease or other types of diseases. Should not blindly given antibiotic treatment, especially the escalation therapy , which avoids inappropriate use of antibiotics , but also to avoid delay in diagnosis and treatment of the best time. In summary, the clinical manifestations of adult Still disease is complex, wide spectrum of disease , especially in multi-system damage in pulmonary lesions based on the merger , more attention should be paid the differential diagnosis of the disease , explore new ideas, Quweicunzhen, Qucuqujing , which Getting from here to consider . Continue to reflect on , and constantly adjust the correct diagnosis and treatment ideas . ( see Figure 2 inset article page 7)
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