Erişkin Still Hastalığı ilişkili Makrofaj Aktivasyon Sendromu: Olgu Sunumu

Year 2019, Volume: 9 Issue: 1, 185 - 189, 20.03.2019

Burcu Aydoğan , Mehmet Kılıç Emel Örge

Abstract

Makrofaj Aktivasyon Sendromu (MAS),
çeşitli romatizmal hastalıkların ciddi, hayatı tehdit eden bir
komplikasyonu olarak ortaya çıkabilmektedir. Sistemik jüvenil idiyopatik artrit
ve Erişkin Still hastalığında daha sık olarak görülmektedir. Burada nadir
görülen bir hastalık olan Erişkin Still hastalığına eşlik eden ve immunsüpresif
tedaviyle remisyona giren, hayatı tehdit eden bir MAS olgusu sunulacaktır.

Keywords

Erişkin Still Hastalığı; Makrofaj Aktivasyon Sendromu

References

• 1-Raj PB1, Harikrishnan BL2, Mampilly R3, Anand R3.Macrophage Activation Syndrome. J Assoc Physicians India.2017 May ;65(5):91-922-Ruscitti P1, Rago C2, Breda L3, Cipriani P4, Liakouli V4, Berardicurti O4,et al. Macrophage activation syndrome in Still’s disease: analysis of clinical characteristics and survival in paediatric and adult patients. Clin Rheumatol. 2017 Dec;36(12):2839-28453-Yazıcı A, Çefle A. Hemofagositik Sendrom ve Bağ Dokusu Hastalıkları. Uludağ Üniversitesi Tıp Fakültesi Dergisi 2017; 43 (3): 137-1404- Fautrel B. Adult-onset Still’s disease. Best Pract Res Clin Rheumatol, 2008; 22: 773-92.5-Shaikh MM1, Hermans LE2, van Laar JM2Is serum procalcitonin measurement a useful addition to a rheumatologist's repertoire? A review of its diagnostic role in systemic inflammatory diseases and joint infections. Rheumatology (Oxford). 2015 Feb;54(2):231-40. 6- Colafrancesco S1, Priori R, Valesini G. Presentation and diagnosis of adult-onset Still's disease: the implications of current and emerging markers in overcoming the diagnostic challenge. Expert Rev Clin Immunol. 2015 Jun;11(6):749-617-Chen DY, Chen YM, Ho WL, Chen HH, Shen GH, Lan JL. Diagnostic value of procalcitonin for differentiation between bacterial infection and non-infectious inflammation in febrile patients with active adult-onset Still's disease. Ann Rheum Dis. 2009 Jun;68(6):1074-58 -Gavand PE1, Serio I2, Arnaud L3, Costedoat-Chalumeau N4, Carvelli J5, Dossier A6 et al.Clinical spectrum and therapeutic management of systemic lupus erythematosus-associated macrophage activation syndrome: A study of 103 episodes in 89 adult patients.Autoimmun Rev. 2017 Jul;16(7):743-7499- Kundu A1, Fitzgibbons TP2. Acute symptomatic sinus bradycardia in a woman treated with pulse dose steroids for multiple sclerosis: a case report. J Med Case Rep. 2015 Sep 24;9:216. 10- Guillén EL1, Ruíz AM, Bugallo JB. Hypotension, bradycardia, and asystole after high-dose intravenous methylprednisolone in a monitored patient. Am J Kidney Dis. 1998 Jul;32(2):E4.