Adult onset Still's disease associated with Epstein-Barr virus infection in a 66-year-old woman.
Adult onset Still's disease (AOSD) is a distinct clinical entity which affects predominantly young adults aged 16-35 years. Onset in elderly individuals is exceptional. Several reports have suggested a viral trigger in the pathogenesis of this disease. We describe a 66-year-old woman who fulfilled the proposed diagnostic criteria of AOSD and suffered concurrently from acute Epstein-Barr virus (EBV) infection.
Schifter
T
T
Department of Medicine A, Rabin Medical Center, Campus Golda (Hasharon Hospital), Petah-Tiqva, Israel.
Lewinski
U H
UH
D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D000974:Antibodies, Antinuclear / Q000032:analysis; D018501:Antirheumatic Agents / Q000627:therapeutic use; D018771:Arthralgia / Q000150:complications; D001799:Blood Sedimentation; D005260:Female; D005293:Ferritins / Q000097:blood; D005334:Fever / Q000150:complications; D006566:Herpesviridae Infections / Q000150:complications*; D004854:Herpesvirus 4, Human; D006801:Humans; D007052:Ibuprofen / Q000627:therapeutic use; D008727:Methotrexate / Q000627:therapeutic use; D008875:Middle Aged; D012217:Rheumatoid Factor / Q000032:analysis; D016706:Still's Disease, Adult-Onset / Q000150:complications / Q000188:drug therapy / Q000821:virology*; D014412:Tumor Virus Infections / Q000150:complications*
D000894:Anti-Inflammatory Agents, Non-Steroidal; D000974:Antibodies, Antinuclear; D018501:Antirheumatic Agents; D005293:Ferritins; D012217:Rheumatoid Factor; D007052:Ibuprofen; D008727:Methotrexate