Adult Still´s disease
Keywords:
adult Still´s disease, rash, fever, arthritisAbstract
A male patient aged 17 with a history of health is hospitalized due to sore throat, fever over 39oC, oligoarthritis, lymphadenopathy, hepatosplenomegaly, skin rash that coincided with fever, neutrophilic leukocytosis, elevated erytrosedementation, negative rheumatoid factor and hypertransaminasemia. During admission right carpal arthritis, and pericardial effusion are found and treatment was started with non steroid anti-inflammatory indomethacin 150 mg daily. The response was favourable yielding fever and improving the clinical manifestations. Seven years he presented fever over 39oC, or depression .The physical examination revealed splenomegaly, no arthritis, and a treatment with indomethacin 150 mg daily was started. The outcome was not favourable and 15 mg of prednisone for 6 weeks was added getting good responses. This intermittent or polycyclic variant of Still's disease is the most common.The same episodes recur at varying intervals but they are less intense.Downloads
References
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