[Still's disease in adults and polymyositis. An infrequent association].
A case of coexistence of adult onset Still's disease and idiopathic inflammatory myopathy is reported in a patient with antecedent of Graves-Basedow disease. Although myalgias are common during the flares of adult onset Still's disease, a review of literature only disclosed two previous cases of polymyositis associated to adult onset Still's disease. A high index of suspicion is needed in order to diagnose such a rare association which has relevant prognostic and therapeutic implications. Treatment with methotrexate was started in order to control myopathy, resulting in improvement of both polymyositis and adult onset Still disease. A possible role of methotrexate in the management of adult onset Still's disease is suggested.
Barbadillo
C
C
Servicio de Reumatología, Hospital Puerta de Hierro, Facultad de Medicina, Universidad Autónoma, Madrid.
Cuende
E
E
Mazzucchelli
R
R
Mulero
J
J
Andreu-Sánchez
J L
JL
D000328:Adult; D005260:Female; D006801:Humans; D017285:Polymyositis / Q000150:complications*; D016706:Still's Disease, Adult-Onset / Q000150:complications*
Enfermedad de Still del adulto y polimiositis. Una asociación infrecuente.