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Erişkin Still Hastalığı: Olgu Sunumu

Year 2014, Volume: 5 Issue: 4, 120 - 122, 01.04.2014

Abstract

Introduction: Adult-onset Still’s disease (ASD) is a systemic inflammatory disease of unknown etiology and pathogenesis. ASD, one of the most important causes of fever of unknown origin, is diagnosed after ruling out infection, malignancy, and rheumatologic diseases. It may also present with fever alone, without typical skin rash and articular manifestations.   Case Report: There are no pathognomonic laboratory findings in ASD. In this paper, we report a case that presented to the emergency department with fever, malaise, and joint pain for 5 days and was subsequently diagnosed with ASD.   Conclusion: In patients with prolonged fever combined with musculoskeletal symptoms and macular rash, the differential diagnosis should include ASD. Timely diagnosis and treatment of the disease can prevent complications and lead to a favorable prognosis

References

  • Kasper DL, Braunwald E, Fauci AS, et al. Fever and rash. Harrisons Principles of Internal Medicine. 16th edition, Ed: Elaine Kaye ET, Kaye KM. Mc Graw Hill 2005: 108-16.
  • Efthimiou P, Paik PK, Bielory L. Diagnosis and manıagement of adult onset Still’s Disease. Ann Rheum Dis 2006; 65: 564-72. [CrossRef]
  • John M Esdaile. Juvenile chronic arthritis. Adult Still’s Disease. In: Klippel JH, Dieppe PA.Rheumatology. London: London Mosby Limited, 1998; 5: 1-8.
  • Gürer G. Erişkin Still Hastalığı. Romatoloji. Ataman Ş, Payman Y. MN Medikal&Nonel. 1. Baskı 2012; 487-95.
  • Esdaile JM. Tannenbaum H, Hawkins D. Adult Still’s disease. Am J Med 1980; 68: 825-30. [CrossRef]
  • Yamaguchi M, Ohta A, Tsunematsu T, Kasukawa R, Mizushima Y, Kashiwagi H, et al. Preliminary criteria for classification of adult Still’s disease. J Rheumatol 1992; 19: 424-30.
  • Reginato AJ, Schumacher HR JR, Baker DG, O’Connor CR, Ferreiros J. Adult onset Still’s disease: experience in 23 patients and literature review with emphasis on organ failure. Semin Arthritis Rheum 1987; 17: 39-57. [CrossRef]
  • Van Reeth C, Lemoel G, Lasne Yetal. Serum ferritin and isoferrtins are tools for diagnosis of active adult still’s disease. J Reumatol 1994; 21: 890-5.
  • Demirdal ÜS, Demirdal T, Demirtürk N. Erişkin Still Hastalığı: 12 Olgunun Değerlendirilmesi. Firat Med J 2014; 19: 79-82.
  • Tamer AF, Emre H, Altın İ, Sarı RA, Korkmaz L. Erişkin still hastalığı. Tıp Araştırmaları Dergisi 2010; 8: 122 -5.

Adult-Onset Still’s Disease: Case Report

Year 2014, Volume: 5 Issue: 4, 120 - 122, 01.04.2014

Abstract

Introduction: Adult-onset Still’s disease (ASD) is a systemic inflammatory disease of unknown etiology and pathogenesis. ASD, one of the most important causes of fever of unknown origin, is diagnosed after ruling out infection, malignancy, and rheumatologic diseases. It may also present with fever alone, without typical skin rash and articular manifestations.Case Report: There are no pathognomonic laboratory findings in ASD. In this paper, we report a case that presented to the emergency department with fever, malaise, and joint pain for 5 days and was subsequently diagnosed with ASD. Conclusion: In patients with prolonged fever combined with musculoskeletal symptoms and macular rash, the differential diagnosis should include ASD. Timely diagnosis and treatment of the disease can prevent complications and lead to a favorable prognosis

References

  • Kasper DL, Braunwald E, Fauci AS, et al. Fever and rash. Harrisons Principles of Internal Medicine. 16th edition, Ed: Elaine Kaye ET, Kaye KM. Mc Graw Hill 2005: 108-16.
  • Efthimiou P, Paik PK, Bielory L. Diagnosis and manıagement of adult onset Still’s Disease. Ann Rheum Dis 2006; 65: 564-72. [CrossRef]
  • John M Esdaile. Juvenile chronic arthritis. Adult Still’s Disease. In: Klippel JH, Dieppe PA.Rheumatology. London: London Mosby Limited, 1998; 5: 1-8.
  • Gürer G. Erişkin Still Hastalığı. Romatoloji. Ataman Ş, Payman Y. MN Medikal&Nonel. 1. Baskı 2012; 487-95.
  • Esdaile JM. Tannenbaum H, Hawkins D. Adult Still’s disease. Am J Med 1980; 68: 825-30. [CrossRef]
  • Yamaguchi M, Ohta A, Tsunematsu T, Kasukawa R, Mizushima Y, Kashiwagi H, et al. Preliminary criteria for classification of adult Still’s disease. J Rheumatol 1992; 19: 424-30.
  • Reginato AJ, Schumacher HR JR, Baker DG, O’Connor CR, Ferreiros J. Adult onset Still’s disease: experience in 23 patients and literature review with emphasis on organ failure. Semin Arthritis Rheum 1987; 17: 39-57. [CrossRef]
  • Van Reeth C, Lemoel G, Lasne Yetal. Serum ferritin and isoferrtins are tools for diagnosis of active adult still’s disease. J Reumatol 1994; 21: 890-5.
  • Demirdal ÜS, Demirdal T, Demirtürk N. Erişkin Still Hastalığı: 12 Olgunun Değerlendirilmesi. Firat Med J 2014; 19: 79-82.
  • Tamer AF, Emre H, Altın İ, Sarı RA, Korkmaz L. Erişkin still hastalığı. Tıp Araştırmaları Dergisi 2010; 8: 122 -5.
There are 10 citations in total.

Details

Other ID JA65YV64NB
Journal Section Case Report
Authors

Ercan Gündüz This is me

Mehmet Nezir Güllü This is me

Yılmaz Zengin This is me

Recep Dursun This is me

Mustafa İçer This is me

Ayhan Özhasenekler This is me

Yenal Karakoç This is me

Murat Orak This is me

Publication Date April 1, 2014
Submission Date April 1, 2014
Published in Issue Year 2014 Volume: 5 Issue: 4

Cite

APA Gündüz, E., Güllü, M. N., Zengin, Y., Dursun, R., et al. (2014). Adult-Onset Still’s Disease: Case Report. Journal of Emergency Medicine Case Reports, 5(4), 120-122.
AMA Gündüz E, Güllü MN, Zengin Y, Dursun R, İçer M, Özhasenekler A, Karakoç Y, Orak M. Adult-Onset Still’s Disease: Case Report. Journal of Emergency Medicine Case Reports. April 2014;5(4):120-122.
Chicago Gündüz, Ercan, Mehmet Nezir Güllü, Yılmaz Zengin, Recep Dursun, Mustafa İçer, Ayhan Özhasenekler, Yenal Karakoç, and Murat Orak. “Adult-Onset Still’s Disease: Case Report”. Journal of Emergency Medicine Case Reports 5, no. 4 (April 2014): 120-22.
EndNote Gündüz E, Güllü MN, Zengin Y, Dursun R, İçer M, Özhasenekler A, Karakoç Y, Orak M (April 1, 2014) Adult-Onset Still’s Disease: Case Report. Journal of Emergency Medicine Case Reports 5 4 120–122.
IEEE E. Gündüz, M. N. Güllü, Y. Zengin, R. Dursun, M. İçer, A. Özhasenekler, Y. Karakoç, and M. Orak, “Adult-Onset Still’s Disease: Case Report”, Journal of Emergency Medicine Case Reports, vol. 5, no. 4, pp. 120–122, 2014.
ISNAD Gündüz, Ercan et al. “Adult-Onset Still’s Disease: Case Report”. Journal of Emergency Medicine Case Reports 5/4 (April 2014), 120-122.
JAMA Gündüz E, Güllü MN, Zengin Y, Dursun R, İçer M, Özhasenekler A, Karakoç Y, Orak M. Adult-Onset Still’s Disease: Case Report. Journal of Emergency Medicine Case Reports. 2014;5:120–122.
MLA Gündüz, Ercan et al. “Adult-Onset Still’s Disease: Case Report”. Journal of Emergency Medicine Case Reports, vol. 5, no. 4, 2014, pp. 120-2.
Vancouver Gündüz E, Güllü MN, Zengin Y, Dursun R, İçer M, Özhasenekler A, Karakoç Y, Orak M. Adult-Onset Still’s Disease: Case Report. Journal of Emergency Medicine Case Reports. 2014;5(4):120-2.