title: Carpal arthritis with ankylosis in late onset Still's disease.
abstract: Thirteen patients are described in whom Still's disease began after age 15. All had objective evidence of arthritis, and 10 developed chronic synovitis of larger joints, especially the wrists. A characteristic evolution of roentgenographic changes was observed in 7 patients. Carpometacarpal and intercarpal joint spaces became selectively narrowed without erosions, and bony ankylosis eventually occurred. These roentgenographic changes may be a valuable clue to the diagnosis of Still's disease, regardless of the age at onset.
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D001171:Arthritis, Juvenile / Q000150:complications* / Q000000981:diagnostic imaging; D002348:Carpal Bones / Q000000981:diagnostic imaging; D002358:Cartilage, Articular / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D008297:Male; D008663:Metacarpus / Q000000981:diagnostic imaging; D008875:Middle Aged; D011859:Radiography; D013585:Synovitis / Q000150:complications; D014955:Wrist Joint / Q000000981:diagnostic imaging