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Elderly-onset adult Still's disease
Anis Mzabi1, Rym Fakhfakh1, Maissa Thabet1
1Department of Internal Medicine, Sahloul University Hospital, Sousse, Tunisia.
Reumatologia
|September 20, 2021
Summary
Elderly-onset Still's disease (EOSD) can present with severe complications and rare lung involvement. This review discusses EOSD and interstitial lung disease based on literature and case studies.
Area of Science:
- Rheumatology
- Pulmonology
- Internal Medicine
Background:
- Adult-onset Still's disease (AOSD) typically affects young adults but can occur in the elderly (EOSD).
- EOSD diagnosis often relies on criteria like the Yamaguchi criteria.
- Elderly patients may experience a more severe disease course and increased complications.
Observation:
- Interstitial lung disease is an uncommon manifestation of Still's disease.
- This article reviews the literature on EOSD and its association with interstitial lung changes.
- It also presents case studies from a single center.
Findings:
- EOSD in the elderly can lead to significant morbidity.
- Lung involvement, though rare, is a serious complication that requires careful monitoring.
- The clinical presentation and management of EOSD with interstitial lung disease warrant further investigation.
Implications:
- Increased awareness of EOSD and its potential pulmonary manifestations is crucial for early diagnosis and management in the elderly.
- Further research is needed to understand the pathogenesis and optimize treatment strategies for EOSD-associated interstitial lung disease.
- This review highlights the importance of a multidisciplinary approach involving rheumatologists and pulmonologists for affected patients.
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