Behaviors of the Still illness of the adult in the Rheumatology Center
Keywords:
Still illness, factor rheumatoid, arthritisAbstract
Introduction: The illness of the adult's Still a not very common entity, of unknown etiologic whose I diagnose is based on the combination of clinical discoveries and laboratory. It is considered like a frequent cause of the syndrome of fever of unknown origin.
Objective: To know the behavior of the illness of the adult's Still in patients assisted in the rheumatology center.
Methodology: I study descriptive. For the positive diagnosis they were kept in mind the approaches of Cush. The variable sociodemographic was described, clinical and laboratory.
Results: To 80% of the patients he/she was carried out the diagnosis of the illness before the 35 years of age, sex difference didn't exist, they prevailed as more frequent clinical manifestation the fever followed by the arthritis. The patients presented elevation of the sharp phase reactants and they were seronegative. 60 % responded to the steroids use combined with antimalarial and to the remaining 40 % it was necessary to add methotrexate to achieve control of the illness.
Conclusions: The illness of Still generally appears in early ages of the life, its clinical behavior and laboratory as well as the execution of the approaches of classification of the illness facilitates the diagnosis of the same one. The treatment of the illness is based on the steroids use, antimalarial and other modifier combined drug therapy of the illness like the methotrexate.
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References
Valladares Reyes D, Fojo Mayo A, Fleites Alonso YA, Zayas Hernández D, Fábregas Deulofeo Y, Orozco Morales Y. Enfermedad de Still del adulto. Rev Cub Med Mil [revista en Internet]. 2011 Dic [citado 12 de abril de 2014];40(3-4):311-5. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S013865572011000300014&lng=es
Alarcón Segovia D. Tratado hispanoamericano de Reumatología, volumen I, Bogotá: Ed. Nomos S.A; 2006:519-27.
Harris E, Budd R, Genovese M, Firestein G, John Sergent J, Sledge C. Kelley's Textbook of Rheumatology. 7 ed. Madrid: Ed. Elsevier;2006:487-503.
Suárez-Rodríguez B, Díaz-Padrón E, López-Suárez R. Enfermedad de Still del adulto. Revista Cubana de Reumatología [revista en Internet]. 2013 [citado 25 abril de 2014]; 15(3):[aprox. 4 p.]. Disponible en: http://www.revreumatologia.sld.cu/index.php/reumatologia/article/view/272
León Álvarez Jorge Luis, Roselló Silva Nelson, Ochoa Montes Luis Alberto, Vásquez Biset Alfonso, Barbón Fellové Norlan, Douglas Álvarez Carlos. Valor de la ferritina sérica para el diagnóstico de la enfermedad de Still del adulto. Rev cubana med [revista en Internet]. 2008 Sep [citado 12 de abril de 2014]; 47(3). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S003475232008000300010&lng=es
Dudler J, Revaz S. Adult onset Still disease. Rev Med Suisse. 2008;4(144):704-6.
Serra CG, Gimeno EC, Velasco MP, Sanmartín OJ, Millán FP, Pont VS, et al. Enfermedad Still del adulto; presentación de cuatro casos. Med Cutan Iber Lat Am. 2008;36:76-9.
Carreño Pérez L, López Longo FJ. Enfermedad de Still del adulto. Medicina clínica. 2007;129(7):255-7.
García-García G, Fernández-Auzmendi V, Olgado-Ferrero F, Magro-Ledesma D, Sánchez Giralt, S. Miopericarditis aguda como presentación de enfermedad de Still del adulto. Reumatología Clínica. 2012;8(1):31-3.
Rodelo J., González LA, Velásquez MP, Vásquez G, Uribe Ó, Pérez DP, Ramírez LA. Neumonía intersticial usual en enfermedad de Still del adulto. Rev. colomb. Reumatol. 2005;12(2):148-54.
Ceres F. Enfermedad de still del adulto y síndrome de respuesta inflamatoria sistémica. Papel de la ferritina sanguínea. Medicina intensiva. 2003;27(9):624-6.
Montero Sierra, B. Enfermedad de Still. Rev. chil. pediatr. [revista en Internet]. 2012 [citado 28 abril de 2014];14(3):212-7. Disponible en: http://www.scielo.cl/scielo.php?pid=S0370-41061943000300003&script=sci_pdf
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