当院におけるFibrin Clotを用いた関節鏡視下半月縫合術の治療経験

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  • A Case of Subsepsis Allergica Diagnosed with Difficulty.
  • 診断に難渋したアレルギー性亜敗血症の１例

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Subsepsis allergica (Wissler-Fanconi syndrome) is a vary rare disease characterized by fever, exanthema amd arthralgia. A 39-years-old man with remittent fever and polyarthralgia visited our hospital in October 1994. His left knee joint and left second toe showed swelling and tenderness, but there were no signs of bone disease on Xray and MRI. Blood examination showed hyperleukocytosis with neutrophilia, hyperpositive CRP, hyperacceleration of ESR, and liver dysfunction. Exanthema with effusion appeared on his left elbow and left dorsum manus. The patient's symptoms were not remitted by antibiotics, but by steroids.<br>In the majority of patients with these symptoms, the differential diagnosis is an infective disease, malignant tumor, collagen disease, toxic disease, and so on. This syndorome is labelled as adult Still's desease.

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