成人斯蒂尔(Still)病是一种自身免疫性风湿病,过去曾称为“变应性亚败血症”。在临床上,成人Still病常常成为诊断和治疗的难题,一方面是其临床表现酷似感染,而治疗该病的糖皮质激素(以下简称激素)对感染性疾病会造成严重的后果;另一方面成人Still病缺乏客观的特征性诊断指标,使 Still, adult Still is an autoimmune rheumatism, formerly known as “Allergic sepsis.” Clinically, adult Still’s disease often becomes a difficult problem in diagnosis and treatment. On the one hand, its clinical manifestations resemble infections. The treatment of glucocorticoid (hereinafter referred to as hormone) has serious consequences on infectious diseases. On the other hand, Still Still’s disease in adults lacks objective diagnostic indicators