伝染性単核球症を疑った成人Still病

Adult Still disease suspected as infectious mononucleosis

Ⅰ．はじめに

　成人Still病は発熱，皮疹，関節炎を3主徴とする病気である^1）。特異的な検査所見が少なく診断が難しく，不明熱を示す代表的疾患で，通常，内科で診断・治療されるため，耳鼻咽喉科医が遭遇する機会は少ない。今回われわれは，咽頭痛で発症した成人Still病の1例を経験したので，若干の文献的考察を加えて報告する。

　A 18-year-old woman presented with complaints of sore throat and fever. Infectious mononucleosis was firstly suspected and examinations were conducted for remittent fever,sore throat and hepatic dysfunction. However,even one week later,she showed no recover. After infectious disease,malignant tumor,and collagenosis were denied,adult Still disease was diagnosed. This disease is characterized by fever,eruption,arthralgia,and sore throat,hepatic dysfunction,and usually diagnosed and treated by internists. However,otolaryngologists should aware of this disease because their similar characteristic of both diseases.