An interesting case of FUO - Adult-onset Still's disease
Abstract
Abstract : Adult-onset Still's disease (AOSD) is a systemic inflammatory disorder of unknown etiology and pathogenesis. AOSD remains a painstakingly difficult clinical diagnosis, largely because of its rarity, protean manifestations and a lack of pathognomic features or diagnostic tests. An elderly female presented to us with fever for 6 months duration and she was diagnosed to have AOSD. We report this case since AOSD is one of the rare causes of FUO and even more rare at this age as only 8 percent of the cases present at more than 50 years.
Keyword :Adult-onset Still's disease, fever of unknown origin, serum ferritin
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Bywaters EG. Still's disease in the adult. Ann Rheum Dis. 1971; 30(2): 121–133.
Larson EB. Adult Still's disease - recognition of a clinical syndrome and recent experience. West J Med. 1985; 142(5): 665–671.
van de Putte LB, Wouters JM. Adultonset Still's disease. Baillieres Clin Rheumatol. 1991; 5(2): 263-75.
Ohta A, Yamaguchi M, Kaneoka H, Nagayoshi T, Hiida M. Adult Still's disease: review of 228 cases from the literature. J Rheumatol. 1987; 14(6): 1139-46.
Wouters JM, van de Putte LB. Adultonset Still's disease;clinical and laboratory features, treatment and progress of 45 cases. Q J Med. 1986; 61(235): 1055-65.
Wouters JM, van Rijswijk MH, van de Putte LB. Adult onset Still's disease in the elderly: a report of two cases. J Rheumatol. 1985; 12: 791–3.
Fautrel B, Zing E, Golmard JL, Le Moel G, Bissery A, Rioux C, et al. Proposal for a new set of classification criteria for adultonset still disease. Medicine (Baltimore). 2002; 81(3): 194-200.
Fautrel B. Ferritin levels in adult Still's disease: any sugar?. Joint Bone Spine. 2002; 69(4): 355-7.
Akritidis N, Giannakakis I, Giouglis T. Ferritin levels and response to treatment in patients with adult Still's disease. J Rheumatol. 1996; 23: 201.
Yamaguchi M, Ohta A, Tsunematsu T, Kasukawa R, Mizushima Y, Kashiwagi H, et al. Preliminary criteria for classification of adult Still's disease. J Rheumatol. 1992; 19(3): 424-30.
Vignes S, Le Moel G, Fautrel B, Wechsler B, Godeau P, Piette JC. Percentage of glycosylated serum ferritin remains low throughout the course of adult onset Still's disease. Ann Rheum Dis. 2000; 59(5): 347–350.
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