- 著者
-
Kenji Saito
Jumpei Temmoku
Yuya Sumichika
Shuhei Yoshida
Eisuke Takano
Shuhei Watanabe
Haruki Matsumoto
Yuya Fujita
Naoki Matsuoka
Tomoyuki Asano
Shuzo Sato
Hiroshi Watanabe
Kiyoshi Migita
- 出版者
- The Japanese Society of Internal Medicine
- 雑誌
- Internal Medicine (ISSN:09182918)
- 巻号頁・発行日
- pp.1026-22, (Released:2023-02-22)
- 参考文献数
- 32
- 被引用文献数
-
2
Adult-onset Still's disease (AOSD) is characterized by high spiking fever, evanescent rash, and arthritis. However, AOSD rarely presents with severe acute kidney injury (AKI). We herein present the case of a 56-year-old woman with new-onset AOSD who rapidly developed AKI. A physical examination and laboratory data revealed spiking fever, evanescent rash, thrombocytopenia, hyperferritinemia, and azotemia. The patient was diagnosed with AOSD complicated by AKI and macrophage activation syndrome. Treatment with high-dose steroids, hemodialysis, and plasma exchange successfully resolved her AKI. In this report, we review previously published reports on AOSD accompanied by AKI and discuss this rare complication in AOSD.