[Adult-onset Still's disease after hepatitis A and B vaccination?].
BACKGROUND
Hepatitis A and B vaccination are generally very well tolerated. However, exceptional cases of arthritis and systemic diseases have been reported after hepatitis B vaccination.


METHODS
The authors report a case of adult Still's disease apparently triggered by hepatitis A and B vaccination. The patient was a 38-year-old woman who presented with fever, hepatitis, pneumonitis and neurologic symptoms, compatible with the diagnosis of adult Still's disease.


CONCLUSIONS
The authors discuss the rarity of systemic diseases triggered by such vaccination, the link between hepatitis B virus and some vasculitis, and the possibility for viral bacterial infections to trigger adult Still's disease.
Service de médecine interne V, hôpital Louis-Mourier, Colombes.
A
A
Grasland
F
F
Le Maître
J
J
Pouchot
P
P
Hazera
C
C
Bazin
P
P
Vinceneux
D000305:Adrenal Cortex Hormones / Q000008:administration & dosage / Q000627:therapeutic use; D000328:Adult; D005260:Female; D022362:Hepatitis A Vaccines; D017325:Hepatitis B Vaccines / Q000009:adverse effects*; D006507:Hepatovirus / Q000276:immunology*; D006801:Humans; D016706:Still's Disease, Adult-Onset / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D013997:Time Factors; D014611:Vaccination / Q000009:adverse effects; D015164:Vaccines, Inactivated / Q000009:adverse effects*; D014761:Viral Hepatitis Vaccines / Q000009:adverse effects*
D000305:Adrenal Cortex Hormones; D022362:Hepatitis A Vaccines; D017325:Hepatitis B Vaccines; D015164:Vaccines, Inactivated; D014761:Viral Hepatitis Vaccines
Maladie de Still de l'adulte après vaccination contre l'hépatite A et B?