[Adult-onset Still's disease].
If the diagnosis of Adult-onset Still disease is often entertained, the disease remains difficult to diagnose in the absence of any specific clinical or laboratory anomaly. Diagnosis is still a diagnosis of exclusion, and the difficulty rests in the rational and appropriate use of those exclusion tests. Treatment is pragmatic, based on an analysis of the situation and a clear definition of the objectives. Finally, if biological treatments appear efficient, they should be reserved for patients resistant to conventional therapy or corticodependant.
Dudler
J
J
Service de rhumatologie, médecine physique et réhabilitation, Departement de l'appareil locomoteur, Hôpital orthopédique, CHUV, 1011 Lausanne. jean.dudler@chuv.ch
Revaz
S
S
D003937:Diagnosis, Differential; D006801:Humans; D011379:Prognosis; D016706:Still's Disease, Adult-Onset / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy