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对成人Still病误诊自身免疫性肝炎1例分析如下。1病历摘要男,68岁,于入院前3d无明显诱因出现发热、腹胀、下肢水肿。无流涕、咽痛及全身关节痛痛,无咳嗽、咯痰。既往有2型糖尿病史6a,过敏性皮炎2a。否认有病毒性肝炎病史。查体:T 38.6℃,P 98次/min,BP 130/78mm Hg。无皮疹及皮下出血。心肺未见异常,腹膨隆,移动性浊音(+)。
One case of adult Still disease misdiagnosed as autoimmune hepatitis is as follows. A medical summary of male, 68 years old, three days before admission there was no obvious incentive to fever, bloating, lower extremity edema. No runny nose, sore throat and body joint pain, no cough, expectoration. Past history of type 2 diabetes 6a, allergic dermatitis 2a. Denied a history of viral hepatitis. Examination: T 38.6 ℃, P 98 times / min, BP 130 / 78mm Hg. No rash and subcutaneous bleeding. Cardiopulmonary no abnormalities, abdominal bulging, shifting dullness (+).