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[A 39-year-old patient with maculopapular rash, recurrent fever, and arthralgia]
V Freund1, D Budihardja, M Nilles
1Zentrum für Dermatologie und Andrologie, Justus-Liebig-Universität Giessen, Gaffkystr. 14, 35385 Giessen. viviane.freund@derma.med.uni-giessen.de
Abstract:
Adult-onset Still's disease is a rare disorder of unknown etiology. We report the case of a 39-year-old patient who showed the characteristic symptoms: recurrent attacks of fever, arthralgia, maculopapular rash, sore throat, and lymphadenopathy. After the possibility of an infectious or paraneoplastic process was excluded and the laboratory findings were evaluated (increased C-reactive protein, liver values, and ferritin level), the diagnosis was established according to the criteria of Yamaguchi. Therapy with steroids and nonsteroidal anti-inflammatory drugs was started successfully.
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