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Related Experiment Videos

[Still disease in adults]

D Haar1, P Helin

  • 1Fysiurgisk-reumatologisk afdeling U, Amtssygehuset i Glostrup.

Ugeskrift for Laeger
|June 11, 1998
PubMed
Summary
This summary is machine-generated.

Adult onset Stills disease (ASD) is a rare condition mimicking other illnesses. Diagnosis requires careful consideration of symptoms like fever, rash, and joint pain, alongside elevated ferritin levels.

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Area of Science:

  • Rheumatology
  • Internal Medicine
  • Clinical Diagnosis

Context:

  • Adult onset Stills disease (ASD) is a rare systemic inflammatory disorder.
  • Diagnosis is challenging due to non-specific clinical and laboratory findings.
  • ASD is an adult variant of systemic onset juvenile rheumatoid arthritis.

Purpose:

  • To review the clinical features of ASD.
  • To discuss the differential diagnosis of ASD.
  • To outline the treatment and prognosis of ASD.

Summary:

  • Key diagnostic indicators for ASD include high spiking fever, transient rash, arthralgias, arthritis, sore throat, lymphadenopathy, splenomegaly, liver dysfunction, and elevated serum ferritin.
  • Clinical and laboratory features are not pathognomonic, necessitating a comprehensive diagnostic approach.

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  • ASD diagnosis must be considered in patients presenting with this constellation of symptoms.

    • Impact:

    • Improved diagnostic accuracy for Adult onset Stills disease.
    • Enhanced understanding of ASD's clinical presentation and management.
    • Facilitation of timely and appropriate patient care for this rare condition.