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A Case of Adult-Onset Still's Disease with Positive Antinuclear Antibodies

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Journal Cureus
Date 2020 Nov 5
PMID 33150111
Citations 3
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Abstract

Adult-onset Still's disease (AOSD) is a rare inflammatory disorder involving multiple systems. It can present a wide range of symptoms like maculopapular rash, fever, and arthralgia, which may overlap with many other disorders, making it difficult to diagnose. Unknown etiology and no diagnostic tests further make it complex to establish the diagnosis of AOSD. We report the case of a 30-year-old female who presented with persistent rash, joint pain, and fever, along with positive antinuclear antibodies (ANA), diagnosed with this condition. The patient improved with corticosteroids and the plan is to start disease-modifying antirheumatic drugs (DMARDs) after tapering off steroids.

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PMID: 38953085 PMC: 11215933. DOI: 10.7759/cureus.61399.


Chronic Adult-Onset Still's Disease With Positive Antinuclear Antibodies: Navigating Diagnostic Dilemmas and Clinical Implications.

Nagpure K, Raju P, Dube A, Verma I, Kumbhalkar S Cureus. 2024; 16(3):e56776.

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Case Report: A Rare Case of Elderly-Onset Adult-Onset Still's Disease in a Patient With Systemic Lupus Erythematosus.

Hirooka Y, Okuda S, Sugiyama M, Shiga T, Nozaki Y, Kinoshita K Front Immunol. 2022; 13:822169.

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References
1.
Bywaters E . Still's disease in the adult. Ann Rheum Dis. 1971; 30(2):121-33. PMC: 1005739. DOI: 10.1136/ard.30.2.121. View

2.
Still G . On a Form of Chronic Joint Disease in Children. Med Chir Trans. 2010; 80:47-60.9. PMC: 2036674. View

3.
Belfeki N, Smiti Khanfir M, Said F, Hamzaoui A, Ben Salem T, Ben Ghorbel I . Successful treatment of refractory adult onset Still's disease with rituximab. Reumatismo. 2016; 68(3):159-162. DOI: 10.4081/reumatismo.2016.888. View

4.
Awad J, Farah R, Horn I . Adult Still's disease despite the presence of positive antinuclear antibodies. Eur J Intern Med. 2007; 18(2):155-7. DOI: 10.1016/j.ejim.2006.07.025. View

5.
Schwarz-Eywill M, Heilig B, Bauer H, Breitbart A, Pezzutto A . Evaluation of serum ferritin as a marker for adult Still's disease activity. Ann Rheum Dis. 1992; 51(5):683-5. PMC: 1005709. DOI: 10.1136/ard.51.5.683. View