Adult still disease, still a diagnostic challenge: case report
DOI:
https://doi.org/10.61182/rnavmed.v7n1a4Keywords:
Adult still's disease, Juvenile arthritis, Juvenile Idiopathic Arthritis, Juvenile Rheumatoid Arthritis, Juvenile Onset Still's Disease, Chronic Juvenile ArthritisAbstract
Still's disease is a rare condition affecting a small percentage of the population and is characterized by peaks of fever, rash, arthralgias, as well as other symptoms such as fatigue, lymphadenopathy, and hepatosplenomegaly. Its incidence is variable, but it is estimated between 0.4 and 0.62 cases per 100,000 inhabitants. We present the case of a 20-year-old patient with a clinical picture of 5 days of evolution consisting of fever of 39 degrees Celsius, asthenia, fatigue, arthralgias with swelling and local heat in hands and knee, associated with leukocytosis, neutrophilia, rheumatoid factor and negative ANAS. Still's disease was diagnosed, for which treatment with non-steroidal anti-inflammatory drugs, methotrexate and systemic corticosteroids was indicated, improving clinically from the second day of management, with subsequent evaluation and hospital discharge.
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