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Macrophage activation syndrome triggered by disseminated tuberculosis with tuberculous gumma in a patient with adult-onset Still's disease and Good's syndrome

2016; John Libbey Eurotext; Volume: 26; Issue: 3 Linguagem: Inglês

10.1684/ejd.2016.2745

1952-4013

Yuki Matsuura-Otsuki, Takaaki Hanafusa, Ken Igawa, H. Sato, Aya Nishizawa, Hiroo Yokozeki,

Spinal Dysraphism and Malformations

A 62-year-old Japanese woman presented with left lower abdominal swelling and redness with tenderness in October 2012. The patient had diabetes mellitus requiring insulin therapy, and she and her parents had a history of pulmonary tuberculosis. She had myasthenia gravis since 2003, and an extended thymectomy had been performed for thymoma. During the administration of prednisolone (35 mg/day) and tacrolimus (4 mg/day) for post-operative thymoma in July 2012, she was diagnosed with adult-onset Still's [...]