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Published on: February 8, 2019
Adult-onset Still's disease
1Department of Internal Medicine, Division of Rheumatology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey. atayon@yahoo.com
Adult-onset Still's disease (AOSD) is a rare inflammatory condition. Turkish patients commonly present with fever, sore throat, rash, and joint pain, often accompanied by high ferritin and white blood cell counts.
Area of Science:
- Rheumatology
- Internal Medicine
- Clinical Immunology
Background:
- Adult-onset Still's disease (AOSD) is a systemic inflammatory disorder of unknown cause.
- Characterized by fever, rash, arthralgia, and leukocytosis.
Purpose of the Study:
- To analyze the clinical and laboratory characteristics of AOSD in Turkish patients.
- To describe the presentation of AOSD in a tertiary referral center.
Main Methods:
- Retrospective analysis of 84 patients diagnosed with AOSD between 1990 and 2003.
- Inclusion based on established diagnostic criteria for AOSD.
Main Results:
- The majority of patients (70.2%) were female.
- Common symptoms included arthralgia (96.4%), fever (95.2%), arthritis (69%), and sore throat (65.5%).
- Elevated C-reactive protein, erythrocyte sedimentation rate (ESR), leukocytosis, and hyperferritinemia (>1000 ng/dl) were frequently observed.
Conclusions:
- Key initial findings in Turkish AOSD patients include high fever, sore throat, rash, polyarthritis, hyperferritinemia, and leukocytosis.
- Anemia and hypoalbuminemia were also noted.
- These characteristics aid in the diagnosis of AOSD in this population.
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