Korean J Anesthesiol.  1998 Jul;35(1):186-189. 10.4097/kjae.1998.35.1.186.

Stellate Ganglion Block for the Treatment of Adult Onset Still's Disease: A case report

• Cheon BS
• Chung HK
• Kyoun IS
• Jung JH
• Seo YB

• KMID: 2298930
• DOI: http://doi.org/10.4097/kjae.1998.35.1.186

Abstract

A 31-year-old woman was referred to our pain clinic department under the diagnosis of an adult onset Still's disease. She had been suffering from high fever, skin rash, multiple arthralgia, morning stiffness and lymph node enlargement for 16 months. She had taken conventional medication with steroid and NSAIDs, but the symptoms were a remittent nature. And also, she complained of systemic side effects of corticosteroids. Stellate ganglion block with 0.25% bupivacaine was performed 67 times for the treatment of adult onset Still's disease and then, her symptoms were improved eventually. We could discontinue steroid and NSAIDs, laboratory data were satisfactory. As we experienced an adult onset still's disease improved with stellate ganglion block, we report this case with a review of the literature.

Keyword

Anesthetic technique: regional; stellate ganglion block; Rheumatoid arthritis : adult onset Still's disease

MeSH Terms

Adrenal Cortex Hormones
Adult*
Anti-Inflammatory Agents, Non-Steroidal
Arthralgia
Bupivacaine
Diagnosis
Exanthema
Female
Fever
Humans
Lymph Nodes
Pain Clinics
Stellate Ganglion*
Still's Disease, Adult-Onset*
Adrenal Cortex Hormones
Anti-Inflammatory Agents, Non-Steroidal
Bupivacaine