Adult Still’s disease: case series

  • Yeimy Vega Professor Alejandro Posadas National Hospital, Province of Buenos Aires, Argentina
  • Paula Barragán Professor Alejandro Posadas National Hospital, Province of Buenos Aires, Argentina
  • Ramiro Gómez Professor Alejandro Posadas National Hospital, Province of Buenos Aires, Argentina
  • Constanza Giardullo Professor Alejandro Posadas National Hospital, Province of Buenos Aires, Argentina
  • María Fernanda Sola Professor Alejandro Posadas National Hospital, Province of Buenos Aires, Argentina
  • Marcelo Caldas Professor Alejandro Posadas National Hospital, Province of Buenos Aires, Argentina
  • Marina Martínez Professor Alejandro Posadas National Hospital, Province of Buenos Aires, Argentina
Keywords: adult Still's disease, Yamaguchi classification

Abstract

Adult Still's disease (ASD) is an uncommon rheumatic and inflammatory disorder of unknown etiology. The major clinical features include fever, arthralgia, transient salmon-pink rash, odynophagia, lymphadenopathy, hepatosplenomegaly, serositis, and laboratory findings such as leukocytosis with neutrophilia, hyperferritinemia, and negative immunologic laboratory testing. ASD diagnosis is reached by exclusion.Different classification criteria such as Yamaguchi, Cush and Fautrel have been developed for the identification of ASD. Treatment is based on the degree of disease activity and clinical response1.We describe clinical manifestations, diagnosis, treatment, and prognosis of seven patients with adult's Still disease.

Author Biographies

Yeimy Vega, Professor Alejandro Posadas National Hospital, Province of Buenos Aires, Argentina
Medical Clinic Service
Paula Barragán, Professor Alejandro Posadas National Hospital, Province of Buenos Aires, Argentina
Medical Clinic Service
Ramiro Gómez, Professor Alejandro Posadas National Hospital, Province of Buenos Aires, Argentina
Rheumatology Service
Constanza Giardullo, Professor Alejandro Posadas National Hospital, Province of Buenos Aires, Argentina
Medical Clinic Service
María Fernanda Sola, Professor Alejandro Posadas National Hospital, Province of Buenos Aires, Argentina
Medical Clinic Service
Marcelo Caldas, Professor Alejandro Posadas National Hospital, Province of Buenos Aires, Argentina
Medical Clinic Service
Marina Martínez, Professor Alejandro Posadas National Hospital, Province of Buenos Aires, Argentina
Medical Clinic Service

References

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Published
2023-06-30
How to Cite
1.
Vega Y, Barragán P, Gómez R, Giardullo C, Sola MF, Caldas M, Martínez M. Adult Still’s disease: case series. Rev. Argent. Reumatol. [Internet]. 2023Jun.30 [cited 2024Sep.8];34(2):66 -8. Available from: https://ojs.reumatologia.org.ar/index.php/revistaSAR/article/view/750
Section
Clinical Case