Celiac disease: association with adult-onset Still's disease: apropos of a clinical case.
Adult-onset Still's disease (AOSD) is a rheumatic disorder of unknown etiology characterized by a triad of fever, polyarthritis and evanescent rash. We present a case report of a 28-year-old female who presented with complaints of fever, joint pains, rash, weakness for the past 4 years and diarrhea for the past 2 years. On investigation the patient was diagnosed to be a case of AOSD. Duodenal biopsy report was suggestive of celiac disease with a positive IgA tissue transglutaminase and anti-endomysial antibody. The patient was started on weekly methotrexate and gluten-free diet and her symptoms gradually improved. The patient remains in our follow-up and is doing well.
Kumar
Sachin
S
Department of Medicine, Maulana Azad Medical College and Associated Lok Nayak and G. B. Pant Hospitals, New Delhi-110 002, India. drkumarsachin@yahoo.com
Gupta
N
N
Jhamb
Rajat
R
Mishra
Deepak
D
D000328:Adult; D001327:Autoimmune Diseases; D002446:Celiac Disease / Q000175:diagnosis* / Q000235:genetics / Q000503:physiopathology; D005260:Female; D020022:Genetic Predisposition to Disease; D006801:Humans; D007070:Immunoglobulin A; D008727:Methotrexate; D012307:Risk Factors; D016706:Still's Disease, Adult-Onset / Q000175:diagnosis* / Q000235:genetics / Q000503:physiopathology
D007070:Immunoglobulin A; D008727:Methotrexate