Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
Calcinosis Cutis and Intestinal Pseudoobstruction in a Patient with Adult Onset Still's Disease Associated with Recurrent Relapses of Disordered Coagulopathy
Tadashi SHINOHARAToshihiko HIDAKAYasunori MATSUKIKimihiro SUZUKIFumitaka OHSUZU
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JOURNAL FREE ACCESS

1999 Volume 38 Issue 6 Pages 516-520

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Abstract

Adult onset Still's disease (AOSD) is a systemic inflammatory disorder of unknown origin, characterized by a typical spiking fever, evanescent salmon-colored rash, polyarthralgia, and myalgia. Calcinosis cutis and gastrointestinal involvement have rarely been noted in AOSD. We herein describe a 54-year-old woman who demonstrated repeated disseminated intravascular coagulation (DIC), and adult respiratory distress syndrome (ARDS), associated with AOSD. The patient also revealed a remarkable degree of digital Calcinosis cutis and intestinal pseudoobstruction. A connective tissue disease, such as systemic sclerosis, might have been the underlying factor in the latter two symptoms.
(Internal Medicine 38: 516-520, 1999)

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