title: [Still disease in subSaharan Africa: report of four cases in Gabon].
abstract: Still disease is an inflammatory rheumatism occurring predominantly in children and adolescents, but which is sometimes diagnosed in adults. A combination of fever, arthralgia, transient dermatological lesions, hyperleucocytosis predominantly neutrophilic, and ferritinaemia greater than 1,000 μg/L is suggestive of this disease, but infectious, haematological, immunological, and tumor diseases must first be ruled out. Accordingly, patients' financial limitations keep this disease from being diagnosed often in sub-Saharan Africa. We report four cases of Still disease with favourable outcome after corticosteroid therapy.
authors.affiliation: Centre hospitalier de Libreville, Service de médecine A, BP 2228 Libreville, Gabon. ibabajose@yahoo.fr
authors.forename: Josaphat
authors.initials: J
authors.lastname: Iba Ba
authors.forename: Jean Raymond
authors.initials: JR
authors.lastname: Nzenze
authors.forename: Franck
authors.initials: F
authors.lastname: Moubamba
authors.forename: Angela Sonia Iroki
authors.initials: AS
authors.lastname: Mboumba
authors.forename: Landry
authors.initials: L
authors.lastname: Missounga
authors.forename: Rufin
authors.initials: R
authors.lastname: Bignoumba Ibouili
authors.forename: Sophie
authors.initials: S
authors.lastname: Coniquet
authors.forename: Jean-Baptiste
authors.initials: JB
authors.lastname: Moussavou Kombila
authors.forename: Jean Bruno
authors.initials: JB
authors.lastname: Boguikouma
mesh_terms: D000305:Adrenal Cortex Hormones / Q000627:therapeutic use*; D001171:Arthritis, Juvenile / Q000175:diagnosis* / Q000188:drug therapy*; D002648:Child; D005260:Female; D005681:Gabon; D006801:Humans; D008297:Male; D008875:Middle Aged; D016706:Still's Disease, Adult-Onset / Q000175:diagnosis* / Q000188:drug therapy*; D055815:Young Adult
chemical_list: D000305:Adrenal Cortex Hormones