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Related Experiment Videos

Adult Still's disease

J M Esdaile, H Tannenbaum, D Hawkins

    The American Journal of Medicine
    |June 1, 1980
    PubMed
    Summary

    Adult Still's disease is a recognizable condition with characteristic clinical and laboratory findings, including rash and fever. Early recognition and treatment with NSAIDs are crucial for managing this non-rare inflammatory disorder.

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    Area of Science:

    • Rheumatology
    • Internal Medicine
    • Clinical Immunology

    Background:

    • Adult Still's disease (ASD) is a rare systemic inflammatory disorder.
    • Characterized by fever, rash, and arthritis, ASD poses diagnostic challenges.

    Observation:

    • This study reviews six ASD cases and 52 from literature.
    • Key clinical and laboratory features were analyzed.

    Findings:

    • High fever (≥40°C) in 83%, rash in 90%, and arthritis in 88% are common.
    • Leukocytosis (≥18,000 cells/mm³) observed in 67%.
    • Other frequent signs include lymphadenopathy (48%), splenomegaly (45%), and serositis (31-26%).

    Implications:

    • ASD is more common than previously thought.
    • Prompt diagnosis avoids extensive workups.
    • High-dose NSAIDs are the recommended initial therapy.