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幼年型类风湿性关节炎可能仅累及少数关节,而多发性关节炎或全身性炎性疾病早期关节病变可不明显,后一型称Still氏病。幼年型类风湿性关节炎限于15岁以下,但亦可见于15岁以上。因部分患者在儿童期有相同的发作,故其确切命名应为成人Still氏病,而不是成人发作型Still氏病。儿童时期幼年型类风湿性关节炎的Still氏型易于辨认,而成人则否。因缺乏特征性表现,成人患者常经历较长的观察期,往往试用多种抗菌素治疗。本文报告6例并简要复习文献报告的52例成人Still氏病(计58例)的临床特点,指出
Juvenile rheumatoid arthritis may involve only a small number of joints, and multiple arthritis or systemic inflammatory disease early joint disease may not be obvious, the latter type is Still’s disease. Juvenile rheumatoid arthritis is limited to children under the age of 15, but can also be seen over the age of 15. Because some patients have the same episode during childhood, it is exactly the name of Adult’s Still’s disease rather than adult-onset Still’s disease. Still’s type of juvenile rheumatoid arthritis in childhood is easy to recognize, whereas in adults it is not. Due to the lack of characteristic manifestations, adult patients often experience longer observation periods and often try multiple antibiotic treatments. This article reports the clinical features of 52 cases of Still’s disease (58 cases) reported in 6 cases and briefly reviewing the literature, pointing out