Abstract

GARCIA GóMEZ, Carlos; FERNANDEZ GONZALEZ, Claudia; RODRIGUEZ MORALES, Osvaldo  and  ACOSTA QUINTANA, Javier. Still´s disease in adults. Case presentation. Medisur [online]. 2018, vol.16, n.5, pp. 723-727. ISSN 1727-897X.

Still´s disease in adults is an entity with a possible autoimmune origin, of unknown etiology and infrequent presentation. It is characterized by high fever, netrophylic leukocytosis, and transient exanthema. The values of seric ferritin over 3 000 ng/mL are of great value to determine the diagnosis. It is described the case of a 28 year old male patient with chronic febrile syndrome, cutaneous rash, odynophagia and arthritis. Laboratory tests were performed which showed leukocytosis, high level of hepatic enzymes and seric ferritin. The low incidence of this disease, its complicated form of presentation, so as the non- existence of any confirming test for its diagnosis, motivated the authors to describe a patient with Still´s disease of the adult.

Keywords : Still’s disease, adult-onset; fever; rare diseases.

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