Adult-onset Still's disease is a systemic disorder without specific histological feature. Diagnosis requires to rule out any other disorder including neoplasia. Nevertheless, patients with paraneoplastic adult-onset Still's disease have been reported. We report a patient with an adult-onset Still's disease who presented with a liver involvement at onset. Two years later, a liver angiosarcoma was diagnosed. This report underlines the difficulty of the diagnosis of the adult-onset Still's disease even in the presence of Yamaguchi et al.'s [J Rheumatol 19 (1992) 424-30] and Fautrel et al.'s [Medicine 81 (2002) 194-200] classification criteria and may suggest a link between the initial clinical picture and the discovery nearly two years later, of a liver angiosarcoma.

译文

成人型斯蒂氏病是一种全身性疾病,没有特定的组织学特征。诊断需要排除任何其他疾病,包括肿瘤。尽管如此,已经报道了患有副肿瘤性成人斯蒂里氏病的患者。我们报告了一名成人Still病患者,该患者在发病时表现为肝脏受累。两年后,诊断出肝脏血管肉瘤。该报告强调了即使在存在Yamaguchi等人的 [J风湿病19 (1992) 424-30] 和Fautrel等人的 [医学81 (2002) 194-200] 分类标准的情况下,成人发病的斯蒂尔病的诊断困难,并且可能建议最初的临床情况和近两年后的发现,肝脏血管肉瘤。

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