Карточка-задание по английскому языку на тему «MEDICAL WRITING: CASE ABSTRACT_374»
«MEDICAL WRITING: CASE ABSTRACT_374»
·What is a medical case report?
·What parts does it include?
·What is an abstract?
Read the abstract of the medical case
Non-Hodgkin's lymphoma in a
woman with adult-onset Still's disease: a case report
Adult onset Still's disease is a
chronic multisystemic inflammatory disorder characterized by high spiking
fever, polyarthralgia and rash. Lymphadenopathy is a prominent feature of adult
onset Still's disease and is seen in about 65% of patients. Searching the
medical literature using the MEDLINE database from January 1966 through
November 2007 we could only find two reported cases of adult onset Still's disease
that had progressed to lymphoma.
We describe a woman who was
diagnosed with adult onset Still's disease and developed lymphoma 10 months
after the onset of her symptoms. She initially presented with fever and
arthritis of the knees, ankles and shoulders, along with a nonpruritic skin
rash, myalgia and weight loss. On physical examination she was found to have
several enlarged anterior cervical lymph nodes and left posterior auricular
lymph nodes all of which were non-tender, immobile and rubbery. Excisional
biopsy of the cervical lymph nodes was negative for malignancy. Bone marrow
biopsy was also negative for malignancy. She was treated with prednisone. She
remained in good health until she presented 10 months later with low back pain,
dyspnea and weight loss. Work up revealed malignant lymphoma. She was treated
with chemotherapy and was doing well until she presented with abdominal pain.
Work up revealed a cirrhotic liver and ascites. She then passed away from
hepatorenal syndrome 13 years after the diagnosis of lymphoma. To our
knowledge, this is the third reported case of such an occurrence.
Although the association between
adult onset Still's disease and lymphoma has been rarely reported, careful
screening for this malignancy in patients suspected to have adult onset Still's
disease is warranted.
Find in the abstract:
·Why is it important
·Needs to be reported
Answer the questions:
1.Is this the first report of this kind in the literature?
2.What are brief details of what the patient(s) presented with?
3.What the reader should learn from the case report?
4.What the clinical impact will be?
5.Is it an original case report of interest to a particular clinical
specialty of medicine?
6.Will it have a broader clinical impact across medicine?
7.Are any teaching points identified?
·Why abstract is the most important part for case
published in electronic databases?