title: Adult onset Still's disease as a paraneoplastic syndrome--a case report and review of the literature.
abstract: Adult onset Still's disease (AOSD) is a systemic inflammatory disease with unknown etiology and characterized by evanescent salmon pink rash, sore throat, liver dysfunction, lymphadenopathy, hepatosplenomegaly, arthritis, and leukocytosis. It is a diagnosis of exclusion; however, there are case reports in the literature about patients with malignancies and AOSD-like signs and symptoms. Here we report a patient with AOSD seems to be associated with sarcomatoid renal cell carcinoma. This phenomenon is not distinguishable from primary AOSD either in presentation or in treatment; except for the main purpose of the management should be targeted to the underlying malignancy.
authors.forename: Sedat
authors.initials: S
authors.lastname: Yilmaz
authors.forename: Ahmet
authors.initials: A
authors.lastname: Karakas
authors.forename: Muhammet
authors.initials: M
authors.lastname: Cinar
authors.forename: Omer
authors.initials: O
authors.lastname: Coskun
authors.forename: Ismail
authors.initials: I
authors.lastname: Simsek
authors.forename: Hakan
authors.initials: H
authors.lastname: Erdem
authors.forename: Can Polat
authors.initials: CP
authors.lastname: Eyigun
authors.forename: Salih
authors.initials: S
authors.lastname: Pay
mesh_terms: D000368:Aged; D002292:Carcinoma, Renal Cell / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D017024:Chemotherapy, Adjuvant; D006801:Humans; D007680:Kidney Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D008297:Male; D008775:Methylprednisolone / Q000627:therapeutic use; D009392:Nephrectomy; D010257:Paraneoplastic Syndromes / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D016706:Still's Disease, Adult-Onset / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D016896:Treatment Outcome
chemical_list: D008775:Methylprednisolone