[A 39-year-old patient with maculopapular rash, recurrent fever, and arthralgia].
Adult-onset Still's disease is a rare disorder of unknown etiology. We report the case of a 39-year-old patient who showed the characteristic symptoms: recurrent attacks of fever, arthralgia, maculopapular rash, sore throat, and lymphadenopathy. After the possibility of an infectious or paraneoplastic process was excluded and the laboratory findings were evaluated (increased C-reactive protein, liver values, and ferritin level), the diagnosis was established according to the criteria of Yamaguchi. Therapy with steroids and nonsteroidal anti-inflammatory drugs was started successfully.
Freund
V
V
Zentrum für Dermatologie und Andrologie, Justus-Liebig-Universität Giessen, Gaffkystr. 14, 35385 Giessen. viviane.freund@derma.med.uni-giessen.de
Budihardja
D
D
Nilles
M
M
Mayser
P
P
D000328:Adult; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage*; D018771:Arthralgia / Q000175:diagnosis* / Q000517:prevention & control*; D003879:Dermatologic Agents / Q000008:administration & dosage; D003937:Diagnosis, Differential; D005076:Exanthema / Q000175:diagnosis* / Q000517:prevention & control*; D005260:Female; D005335:Fever of Unknown Origin / Q000175:diagnosis* / Q000517:prevention & control; D006801:Humans; D055502:Secondary Prevention; D013256:Steroids / Q000008:administration & dosage; D016706:Still's Disease, Adult-Onset / Q000175:diagnosis* / Q000517:prevention & control*
D000893:Anti-Inflammatory Agents; D003879:Dermatologic Agents; D013256:Steroids