成人発症Still病に虹彩毛様体炎，乳頭浮腫，網膜血管炎が合併した1例

Iridocyclitis, papilledema and retinal phlebitis in a case of adult-onset Still's disease

　19歳の男子が弛張熱，関節痛，リンパ節腫脹を契機として成人発症Still病と診断された。入院加療中，両眼の軽度の充血で眼科を受診した。両眼に虹彩炎があり，右眼に視神経乳頭浮腫があった。螢光眼底造影で視神経乳頭と右眼の網膜血管の過螢光があった。ステロイド薬と少量のメトトレキサートの全身投与で，全身症状と眼症状は軽快した。

A 19-year-old male had been diagnosed as adult-onset Still's disease following relasping fever,arthralgia and swelling of lymphnodes. He was referred to us for slight injection in both eyes. Iridocyclitis was present in both eyes. Papilledema was present in the right eye. Fluorescein angiography showed dye leakage from the disc and hyperfluorescence along the retinal veins in the right eye. Systemic treatment with corticosteroid and low-dose methotrexate resulted in improvement in systemic and ocular manifestations.