title: Small intestine Crohn's disease presenting as fever mistaken for adult onset Still's disease.
abstract: Crohn's disease (CD) is not rare in recent years, but it is sometimes difficult to make a definite diagnosis particularly if it is in the small intestine. We report a patient with fever for 8 months whose disease was mistaken to be Adult onset Still's disease. The patient was diagnosed small intestine Crohn's disease at last by pathology. We want to emphasize that doctors should not forget small intestine Crohn's disease when encountering an unidentified feverish patient, they should not diagnose a feverish patient of Adult onset Still's disease at once. It is important to note that corticosteroids can conceal many diseases and they should not be considered lightly even if the patient is diagnosed with Adult onset Still's disease.
authors: The First Affiliated Hospital of Zhejiang Chinese Medical University, China.
authors: Zhang
authors: Z
authors: Shuo
authors: Chao
authors: C
authors: Guanqun
mesh_terms: D000328:Adult; D003424:Crohn Disease / Q000175:diagnosis* / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D005334:Fever / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D007421:Intestine, Small / Q000473:pathology*; D008875:Middle Aged; D016706:Still's Disease, Adult-Onset / Q000175:diagnosis* / Q000601:surgery