Adult-onset Still’s disease

Srinivas V, Sarath Chandra Mouli V, Sravan Kumar S

Pdf Page Numbers :- 126-129

Srinivas V^1,*, Sarath Chandra Mouli V², and Sravan Kumar S¹

¹Department of Internal Medicine, Krishna Institute of Medical Sciences, Minister Road, Secunderabad-500003, Telangana, India

²Department of Rheumatology, Krishna Institute of Medical Sciences, Minister Road, Secunderabad-500003, Telangana, India

*Corresponding author: Dr. Srinivas V, MD., Senior Consultant Internal Medicine, Department of Internal Medicine, Krishna Institute of Medical Sciences, Minister Road, Secunderabad-500003, Telangana, India. Tel.: 040 44186767; Email: sri_vut@yahoo.co.in.

Received 23 April 2015; Revised 16 June 2015; Accepted 25 June 2015; Published 30 June 2015

Citation: Srinivas V, Chandra Mouli SV, Sravan Kumar S. Adult-onset Still’s disease. J Med Sci Res. 2015; 3(3):126-129. DOI: http://dx.doi.org/10.17727/JMSR.2015/3-024

Copyright: © 2015 Srinivas V, et al. Published by KIMS Foundation and Research Center. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Abstract

A 24-year-old male presented with fever, sore throat, and arthralgias for duration of 4 weeks. Fever was high grade, intermittent, associated with maculopapular rash. He was admitted in outside hospital and was started on antibiotics, antituberculosis treatment (ATT), and anti-malarials. The patient was discharged without any improvement. He was then admitted in KIMS hospital, Secunderabad, with persistence of initial symptoms and he was investigated thoroughly for all possible infections, malignancies and autoimmune disease. Rheumatologist consultation was taken, Adult-onset Still’s disease (AOSD) has been considered as he fulfilled the criteria of AOSD. He was started on appropriate therapy and was discharged in stable condition.

Keywords: Adult-onset Still’s disease; maculopapular rash; systemic inflammatory disorder