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J Clin Pathol 57:1052-1056 doi:10.1136/jcp.2004.018010
  • Original article

Spectrum of lymph node pathology in adult onset Still’s disease; analysis of 12 patients with one follow up biopsy

Table 1

 Summary of clinical and laboratory findings

No. Age/Sex Fever Arthralgia/ arthritis Rash LAP H/S WBC (% of granulocyte)† RF ANA W ESR (mm/hr) Ferritin (ng/ml) AST/ALT (IU/l) LDH(IU/l) F/U (Mo) Type of LAP¶
ALT, alanine aminotransferase; ANA, antinuclear antibody; AST, aspartate aminotransferase; F/U, follow up; H/S, hepatomegaly/splenomegaly; LAP, multiple lymphadenopathy; LDH, lactate dehydrogenase; Mo, months; NA, not available; No., patient number; oligo, oilgoarticular (2 to 4 joints affected); poly, polyarticular (5 or more joints affected); RF, rheumatoid factor; WBC, white blood cell count; W ESR, Westergren erythrocyte sedimentation rate.
Westergren ESR: normal range, 0–20 mm/hr; ferritin: normal range, 10–300 ng/ml; AST/ALT: normal range, 0–40 IU/litre; LDH: normal range, 100–225 IU/litre.
*Positive at the dilution factor shown. †WBC in units of ×109 cells/litre (normal range, 4–10×109 cells/litre). ¶Type of LAP, type of lymphadenopathy; I, atypical paracortical hyperplasia pattern; II, burnt out histiocytic pattern; III, exuberant immunoblastic reaction pattern; IV, follicular hyperplasia pattern.
1 37/F + +, poly + + −/− 16.60 (82%) 1/40* 12.6 18440 40/13 846 98 I
2 32/F + +, poly + + −/+ 16.05 (83%) 103 1630 176/63 362 28 I
3 19/F + +, poly + + +/+ 16.11 (85%) 53 222 31/10 549 37 I
4 24/F + +, poly + + −/− 17.29 (78%) 131 109 53/59 690 26 I
5 40/F + +, oligo + + −/+ 32.20 (93%) 1/20* 40 15500 1605/563 282 6 I
6 39/F + +, poly + + +/+ 24.40 (84%) 1/40* 37 779 NA NA 69 II
7 21/M + +, oligo + + +/+ 18.10 (90%) 55 21700 117/102 662 5 II
8 18/F + +, poly + + −/− 19.40 (80%) 63 2980 142/226 NA 96 III
9 29/M + +, oligo + + +/+ 21.40 (94%) 76 31714 100/63 652 60 III
10 28/F + + + +/− 18.70 (87%) 85 1000 218/101 1294 28 III
11 26/F + +, poly + + −/− 15.51 (80%) 132 7870 30/13 637 16 IV
12 15/M + +, poly + + +/+ 27.82 (86%) 136 23500 101/11 362 5 IV to I

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