title: A rare cause of pleural effusion: adult onset Still's disease.
abstract: Adult onset Still's disease is a rare systemic inflammatory disorder. At the onset of the disease sore throat, pharyngitis; which does not respond to antibiotics, one or two times peaking febrile episodes, marked salmon-colored rash on the trunk and extremities, arthralgia, arthritis, myalgia, fatigue, loss of appetite with nausea and weight loss; hepatosplenomegaly and lymphadenopathy can be seen. Among laboratory examinations levels of ferritin and other acute phase reactants distinctly rise, and neutrophilic leukocytosis; ANA and RF negativity are detected. Pleural and pericardial effusions, transient pulmonary infiltration, and rarely myocarditis can be seen during the course of the disease. Here we report a patient who was examined for fever of unknown origin and diagnosed with adult onset Still's disease which is a rare etiology of pleural effusion.
authors.affiliation: Department of Chest Diseases, Necmettin Erbakan University Meram Faculty of Medicine, Konya, Turkey.
authors.forename: Soner
authors.initials: S
authors.lastname: Demirbas
authors.affiliation: Department of Internal Medicine, Okmeydani Training and Research Hospital, Istanbul, Turkey.
authors.forename: Orkide
authors.initials: O
authors.lastname: Kutlu
authors.affiliation: Department of Infectious Diseases, Necmettin Erbakan University Meram Faculty of Medicine, Konya, Turkey.
authors.forename: Bahar
authors.initials: B
authors.lastname: Kandemir
authors.affiliation: Department of Internal Medicine, Okmeydani Training and Research Hospital, Istanbul, Turkey.
authors.forename: Abdullah
authors.initials: A
authors.lastname: Sakin
keywords: Adult onset Still’s disease; ferritin; pleural effusion