Adult Still's disease with myocardial dysfunction induced by microangiopathy.

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  • Additional Information
    • Source:
      Publisher: Japanese Circulation Society Country of Publication: Japan NLM ID: 7806868 Publication Model: Print Cited Medium: Print ISSN: 0047-1828 (Print) Linking ISSN: 00471828 NLM ISO Abbreviation: Jpn Circ J Subsets: MEDLINE
    • Publication Information:
      Original Publication: Kyoto, Japanese Circulation Society.
    • Subject Terms:
      Heart/*physiopathology ; Heart Injuries/*physiopathology ; Microcirculation/*physiopathology ; Still's Disease, Adult-Onset/*physiopathology; Heart Injuries/complications ; Humans ; Male ; Middle Aged ; Still's Disease, Adult-Onset/etiology
    • Abstract:
      A 52-year-old man with inflammatory disease of unknown origin but no specific laboratory abnormalities was referred to our hospital. He has subsequently diagnosed as having adult Still's disease. During an episode of severe inflammation he suffered reversible myocardial damage as revealed by electrocardiography, echocardiography and 201Tl myocardial scintigraphy; this was ameliorated by treatment with steroids and immunosuppressive drugs. No significant stenosis of the coronary artery was observed on coronary angiography. Interstitial mononuclear infiltration was apparent in the right ventricle on endomyocardial biopsy. Myocardial injury with adult Still's disease, which may result in heart failure, has rarely been reported. We report a case of adult Still's disease with myocardial dysfunction that may have been caused by microangiopathy.
    • Publication Date:
      Date Created: 19970101 Date Completed: 19970520 Latest Revision: 20190817
    • Publication Date:
      20221213
    • Accession Number:
      10.1253/jcj.61.74
    • Accession Number:
      9070962