title: [Acute miopericarditis as the presenting feature of adult-onset Still's disease].
abstract: Adult Still's disease (ASD) was described by George Still in 1896. ASD is a rare inflammatory disorder, of unknown etiology, whose clinical manifestations are manifold. Diagnosis requires high clinical suspicion and exclusion of different etiologies. We report the case of a 20 year old male with fever, arthritis, dyspnea and chest pain. Laboratory findings showed increased levels of cardiac enzymes, and a pleuropericardic effusion was detected in imaging tests, both of them showing myopericarditis. Corticosteroid treatment was started with initial improvement, although the addition of methotrexate was necessary in the following months.
authors.affiliation: Servicio de Medicina Interna, Complejo Hospitalario Universitario Infanta Cristina, Badajoz, España. geminway21@hotmail.com
authors.forename: Gema
authors.initials: G
authors.lastname: García-García
authors.forename: Verónica
authors.initials: V
authors.lastname: Fernández-Auzmendi
authors.forename: Fermín
authors.initials: F
authors.lastname: Olgado-Ferrero
authors.forename: Dolores
authors.initials: D
authors.lastname: Magro-Ledesma
authors.forename: Sara
authors.initials: S
authors.lastname: Sánchez Giralt
mesh_terms: D000208:Acute Disease; D006801:Humans; D008297:Male; D010493:Pericarditis / Q000209:etiology*; D016706:Still's Disease, Adult-Onset / Q000150:complications* / Q000175:diagnosis; D055815:Young Adult