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[Adult-onset Still's disease after hepatitis A and B vaccination?]
A Grasland1, F Le Maître, J Pouchot
1Service de médecine interne V, hôpital Louis-Mourier, Colombes.
Background:
Hepatitis A and B vaccination are generally very well tolerated. However, exceptional cases of arthritis and systemic diseases have been reported after hepatitis B vaccination.
Case Report:
The authors report a case of adult Still's disease apparently triggered by hepatitis A and B vaccination. The patient was a 38-year-old woman who presented with fever, hepatitis, pneumonitis and neurologic symptoms, compatible with the diagnosis of adult Still's disease.
Discussion:
The authors discuss the rarity of systemic diseases triggered by such vaccination, the link between hepatitis B virus and some vasculitis, and the possibility for viral bacterial infections to trigger adult Still's disease.