title: [Still's disease or systemic lupus erythematosus in a young adult patient--diagnostic doubts].
abstract: Systemic lupus erythematosus and Still's disease are chronic autoimmune disorders of unknown etiology. Symptomatology of these diseases may be similar causing diagnostic difficulties. Long-term observation and immunological studies are essential to identify the definite disorder. We present a case of a 24-year-old patient with high fever, sore throat and arthritis. During hospitalization rash accompanying fever, nodular erythema, pulmonary changes, liver damage and splenomegaly were observed. Although initially adult-onset Still's disease was diagnosed according to the Yamaguchi criteria, the diagnosis of systemic lupus erythematosus was made after re-analysis of the clinical course and immunological tests.
authors.affiliation: Oddział XI Pomorskiego Centrum Chorób Zakaźnych i Gruźlicy w Gdańsku. jomark@wp.pl
authors.forename: Joanna
authors.initials: J
authors.lastname: Markiewicz
authors.forename: Adrian
authors.initials: A
authors.lastname: Strzelecki
authors.forename: Elzbieta Anna
authors.initials: EA
authors.lastname: Lakomy
authors.forename: Zenobia
authors.initials: Z
authors.lastname: Czuszyńska
authors.forename: Zbigniew
authors.initials: Z
authors.lastname: Zdrojewski
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000175:diagnosis*; D008297:Male; D016706:Still's Disease, Adult-Onset / Q000175:diagnosis