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10.1007/s00393-003-0445-7 http://scihub22266oqcxt.onion/10.1007/s00393-003-0445-7 12827405!ä!12827405 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Z+Rheumatol 2003 ; 62 (3): 287-93 Nephropedia Template TP {{tp|p=12827405|t=2003. Adultes Still-Syndrom als Manifestation einer schweren Hypophosphatamie Morbus Still--eine Storung des Energiestoffwechsels?|pdf=|usr=}}{{12827405}} gab.com Text Adultes Still-Syndrom als Manifestation einer schweren Hypophosphatamie Morbus Still--eine Storung des Energiestoffwechsels JO: Z Rheumatol http://www.kidney.de/pget.php?&tw=1&pmid=12827405 #FOAvip In this case report, a 56-year-old woman with a reversible multiple organ disease with septic fever, arthritis, rash, weight loss, thrombocytopenia, severe disturbance of liver function, renal tubular dysfunction, general muscular weakness, pleural and pericardial effusions and elevated CRP, leukocytosis and a striking hyperferritinemia is presented. An autoimmune disease and a septic process were excluded. Because of the significantly decreased plasma phosphorus concentration (0.2 mmol/l), caused by malabsorption after Whipple's operation with lowered vitamin D and secondary hyperparathyroidism and by chronic alcoholism, severe phosphate deficiency was diagnosed. By substitution of phosphorus, all symptoms disappeared and laboratory findings normalized. Except for the patient's age, all criteria for the diagnosis of Still's disease were fulfilled. So we reflected upon Still's disease to be rather a disturbance of energy metabolism with secondary immunologic changes than an inflammatory rheumatic disease. Significant weight loss in Still's disease and osteopenia might be signs of decreased energy supply. Besides hypophosphatemia, deficiency of magnesium, which is involved in all ATP-dependent processes, and mitochondrial diseases cause disturbances of energy metabolism. Twit Text FOAVip Adultes Still-Syndrom als Manifestation einer schweren Hypophosphatamie Morbus Still--eine Storung des Energiestoffwechsels ????Z Rheumatol http://www.kidney.de/pget.php?&tw=1&pmid=12827405 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=12827405 #FOAvip English Wikipedia <ref>{{Cite pmid|12827405}}</ref> Adultes Still-Syndrom als Manifestation einer schweren Hypophosphatamie Morbus Still--eine Storung des Energiestoffwechsels? #MMPMID12827405 Deixler E; Helmke K Z Rheumatol 2003[Jun]; 62 (3): 287-93 PMID12827405show ga In this case report, a 56-year-old woman with a reversible multiple organ disease with septic fever, arthritis, rash, weight loss, thrombocytopenia, severe disturbance of liver function, renal tubular dysfunction, general muscular weakness, pleural and pericardial effusions and elevated CRP, leukocytosis and a striking hyperferritinemia is presented. An autoimmune disease and a septic process were excluded. Because of the significantly decreased plasma phosphorus concentration (0.2 mmol/l), caused by malabsorption after Whipple's operation with lowered vitamin D and secondary hyperparathyroidism and by chronic alcoholism, severe phosphate deficiency was diagnosed. By substitution of phosphorus, all symptoms disappeared and laboratory findings normalized. Except for the patient's age, all criteria for the diagnosis of Still's disease were fulfilled. So we reflected upon Still's disease to be rather a disturbance of energy metabolism with secondary immunologic changes than an inflammatory rheumatic disease. Significant weight loss in Still's disease and osteopenia might be signs of decreased energy supply. Besides hypophosphatemia, deficiency of magnesium, which is involved in all ATP-dependent processes, and mitochondrial diseases cause disturbances of energy metabolism. |Alcoholism/complications[MESH] |Colectomy[MESH] |Diagnosis, Differential[MESH] |Female[MESH] |Follow-Up Studies[MESH] |Humans[MESH] |Hypophosphatemia/*diagnosis/drug therapy[MESH] |Lymphangioma, Cystic/surgery[MESH] |Malabsorption Syndromes/diagnosis[MESH] |Middle Aged[MESH] |Pancreatic Neoplasms/surgery[MESH] |Phosphates/administration & dosage[MESH] |Postoperative Complications/diagnosis/drug therapy[MESH] |Recurrence[MESH] |Still's Disease, Adult-Onset/*diagnosis/drug therapy[MESH] |Vitamin D Deficiency/complications/drug therapy[MESH]Adultes Still-Syndrom als Manifestation einer schweren Hypophosphatami(epmc).pdf DeepDyve Pubget Overpricing