Ercan GÜNDÜZ, Mehmet Nezir GÜLLÜ, Yılmaz ZENGİN, Recep DURSUN, Mustafa İÇER, Ayhan ÖZHASENEKLER, Yenal KARAKOÇ, Murat ORAK

Erişkin Still Hastalığı: Olgu Sunumu

Introduction: Adult-onset Still’s disease (ASD) is a systemic inflammatory disease of unknown etiology and pathogenesis. ASD, one of the most important causes of fever of unknown origin, is diagnosed after ruling out infection, malignancy, and rheumatologic diseases. It may also present with fever alone, without typical skin rash and articular manifestations. Case Report: There are no pathognomonic laboratory findings in ASD. In this paper, we report a case that presented to the emergency department with fever, malaise, and joint pain for 5 days and was subsequently diagnosed with ASD. Conclusion: In patients with prolonged fever combined with musculoskeletal symptoms and macular rash, the differential diagnosis should include ASD. Timely diagnosis and treatment of the disease can prevent complications and lead to a favorable prognosis

Anahtar Kelimeler:

Erişkin still hastalığı, ateş, maküler döküntü

Adult-Onset Still’s Disease: Case Report

Introduction: Adult-onset Still’s disease (ASD) is a systemic inflammatory disease of unknown etiology and pathogenesis. ASD, one of the most important causes of fever of unknown origin, is diagnosed after ruling out infection, malignancy, and rheumatologic diseases. It may also present with fever alone, without typical skin rash and articular manifestations.Case Report: There are no pathognomonic laboratory findings in ASD. In this paper, we report a case that presented to the emergency department with fever, malaise, and joint pain for 5 days and was subsequently diagnosed with ASD. Conclusion: In patients with prolonged fever combined with musculoskeletal symptoms and macular rash, the differential diagnosis should include ASD. Timely diagnosis and treatment of the disease can prevent complications and lead to a favorable prognosis

Keywords:

Adult-onset Still’s disease, fever, macular rash,

PDF

___

Kasper DL, Braunwald E, Fauci AS, et al. Fever and rash. Harrisons Principles of Internal Medicine. 16th edition, Ed: Elaine Kaye ET, Kaye KM. Mc Graw Hill 2005: 108-16.
Efthimiou P, Paik PK, Bielory L. Diagnosis and manıagement of adult onset Still’s Disease. Ann Rheum Dis 2006; 65: 564-72. [CrossRef]
John M Esdaile. Juvenile chronic arthritis. Adult Still’s Disease. In: Klippel JH, Dieppe PA.Rheumatology. London: London Mosby Limited, 1998; 5: 1-8.
Gürer G. Erişkin Still Hastalığı. Romatoloji. Ataman Ş, Payman Y. MN Medikal&Nonel. 1. Baskı 2012; 487-95.
Esdaile JM. Tannenbaum H, Hawkins D. Adult Still’s disease. Am J Med 1980; 68: 825-30. [CrossRef]
Yamaguchi M, Ohta A, Tsunematsu T, Kasukawa R, Mizushima Y, Kashiwagi H, et al. Preliminary criteria for classification of adult Still’s disease. J Rheumatol 1992; 19: 424-30.
Reginato AJ, Schumacher HR JR, Baker DG, O’Connor CR, Ferreiros J. Adult onset Still’s disease: experience in 23 patients and literature review with emphasis on organ failure. Semin Arthritis Rheum 1987; 17: 39-57. [CrossRef]
Van Reeth C, Lemoel G, Lasne Yetal. Serum ferritin and isoferrtins are tools for diagnosis of active adult still’s disease. J Reumatol 1994; 21: 890-5.
Demirdal ÜS, Demirdal T, Demirtürk N. Erişkin Still Hastalığı: 12 Olgunun Değerlendirilmesi. Firat Med J 2014; 19: 79-82.
Tamer AF, Emre H, Altın İ, Sarı RA, Korkmaz L. Erişkin still hastalığı. Tıp Araştırmaları Dergisi 2010; 8: 122 -5.