A 72-year-old female with adult Still's disease.
We treated a 72-year-old woman with adult Still's disease. The diagnosis was made on the basis of a prolonged, high grade, quotidian fever, polyarthritis, maculopapular skin rashes and exclusion of other possible diseases. A high serum ferritin value was a key factor both in making the diagnosis and in the follow-up. The patient responded to the administration of oral prednisolone at 30 mg/day, which was tapered to 10 mg/day, with no recurrence of symptoms. This disorder can be an important cause of prolonged fever in the elderly as well as in the younger population.
Koga
T
T
First Department of Internal Medicine, Kurume University School of Medicine, Japan.
Tokunaga
N
N
Ichikawa
Y
Y
Oizumi
K
K
D000368:Aged; D005260:Female; D005293:Ferritins / Q000097:blood; D005335:Fever of Unknown Origin / Q000209:etiology; D006801:Humans; D007958:Leukocyte Count; D009504:Neutrophils; D011239:Prednisolone / Q000627:therapeutic use; D016706:Still's Disease, Adult-Onset / Q000097:blood / Q000175:diagnosis* / Q000188:drug therapy
D005293:Ferritins; D011239:Prednisolone