[Still's disease of the adult: analysis of a series of 9 cases].
Characteristic features of 9 patients (5 male, 4 female) affected by Still's disease of adult (SDA) were analysed. All of them had fever and in 7 cases it was associated to arthritis and cutaneous rash. The most frequently affected joints were knees, ankles, and carpus. The sedimentation rate was increased in all patients and 6 of them had associated leucocytosis. 5 patients had mild inflammation synovial fluid. The histological changes found were: cutaneous perivascular inflammation, reactive lymph node enlargement, sinusoid dilatation and hepatic periportal inflammation. The NSA were active in 4 patients but 5 needed steroids to control the systemic clinical alterations. 3 patients relapsed and one was diagnosed as having sarcoidosis 3 years later, the possible association not having being described. We concluded that suspicion is the most important factor for an early diagnosis.
Cervera Segura
R
R
Grau Junyent
J M
JM
Abos Navarro
J
J
Font Franco
J
J
Monforte Martínez
R
R
Bosch Aparici
X
X
Urbano-Márquez
A
A
D000293:Adolescent; D000328:Adult; D001171:Arthritis, Juvenile / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy / Q000276:immunology / Q000473:pathology; D005260:Female; D005334:Fever / Q000209:etiology; D005500:Follow-Up Studies; D006801:Humans; D007592:Joint Diseases / Q000209:etiology; D008198:Lymph Nodes / Q000473:pathology; D008297:Male; D008875:Middle Aged; D012871:Skin Diseases / Q000209:etiology / Q000473:pathology; D013582:Synovial Fluid / Q000166:cytology
Enfermedad de Still del adulto: análisis de una serie de 9 casos.