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[Still disease in subSaharan Africa: report of four cases in Gabon]
Josaphat Iba Ba1, Jean Raymond Nzenze, Franck Moubamba
1Centre hospitalier de Libreville, Service de médecine A, BP 2228 Libreville, Gabon. ibabajose@yahoo.fr
Abstract:
Still disease is an inflammatory rheumatism occurring predominantly in children and adolescents, but which is sometimes diagnosed in adults. A combination of fever, arthralgia, transient dermatological lesions, hyperleucocytosis predominantly neutrophilic, and ferritinaemia greater than 1,000 μg/L is suggestive of this disease, but infectious, haematological, immunological, and tumor diseases must first be ruled out. Accordingly, patients' financial limitations keep this disease from being diagnosed often in sub-Saharan Africa. We report four cases of Still disease with favourable outcome after corticosteroid therapy.
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