Adult Still’s disease: case series
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.References
I. Narváez J. Adult onset Still’s disease. Enfermedad de Still del adulto. Med Clin (Barc) 2018;150(9):348-353.
II. Giacomelli R, Ruscitti P, Shoenfeld Y. A comprehensive review on adult onset Still’s disease. J Autoimmun 2018;93:24-36.
III. Riera-Alonso E, Olivé-Marqués A, Sallés-Lizarzaburu M, et al. Enfermedad de Still del adulto: revisión de 26 casos. Med Clin (Barc) 2007;129(7):258-261.
IV. Efthimiou P, Kontzias A, Hur P, et al. Adult-onset Still’s disease in focus: clinical manifestations, diagnosis, treatment, and unmet needs in the era of targeted therapies. Semin Arthritis Rheum 2021;51(4):85.or8-874.
V. Narváez-García FJ, Pascual M, López de Recalde M, et al. Adult-onset Still’s disease with atypical cutaneous manifestations. Medicine (Baltimore) 2017; 96(11):e6318.
VI. Colina M, Zucchini W, Ciancio G, et al. The evolution of adult-onset Still disease: an observational and comparative study in a cohort of 76 Italian patients. Semin Arthritis Rheum 2011;41(2):279-285.
VII. Efthimiou P, Paik PK, Bielory L. Diagnosis and management of adult onset Still’s disease. Ann Rheum Dis 2006;65(5):564-572.
VIII. Lee EE, Kim MJ, Song YW, et al. Combination of methotrexate and leflunomide for adult-onset Still’s disease: a case report and literature review. J Rheum Dis 2020;27:116-119.
Copyright (c) 2023 on behalf of the authors. Reproduction rights: Argentine Diabetes Society

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.