Abstract
A rare systemic inflammatory disorder is Adult onset Still's disease (AOSD), characterized by diverse clinical and laboratory findings, which is often difficult to diagnose. It is responsible for a significant proportion of cases of acute febrile illness in young adults. Adult Onset Stills Disease (AOSD) usually affects multiple organs, but it is a diagnosis of exclusion. Here we describe a case of a 32-year old patient with fever of unknown etiology, arthralgia, sore throat and skin rash. The final diagnosis of Still's disease was made by clinical and laboratory criteria and exclusion of other causes of similar presentation. Â DOI = 10.3329/jom.v9i1.1428 J MEDICINE 2008; 9 : 58-61
Highlights
Adult onset Still’s disease (AOSD) is a rare systemic inflammatory disorder the aetiology of which is unknown, and the quotidian or double-quotidian spiking fevers with an evanescent rash, arthritis, and multiorgan involvement are the characteristic feature
In 1897 George Still published his monograph, in which he describes 22 children with signs and symptoms of the disease entity currently known as systemic onset juvenile idiopathic arthritis
In 1896 the Lancet first published the description of an adult patient with signs and symptoms of AOSD, which is labeled as rheumatoid arthritis
Summary
Adult onset Still’s disease (AOSD) is a rare systemic inflammatory disorder the aetiology of which is unknown, and the quotidian or double-quotidian spiking fevers with an evanescent rash, arthritis, and multiorgan involvement are the characteristic feature. The Case Report: A 32 year old man hailing from Badda Dhaka, presented to us, at Medicine Out Patient Department, DMCH with 6 weeks history of high fever with rigors and spikes at night lasts for 4-5 hours and relived with sweating. He had pain in joints involving both knee, shoulder, elbow and metacarpophalangeal joints and erythematous rash all over the trunk. On examination he was found to be febrile with Temperature: 39°C, non-itching macular erythematous rash on the trunk.
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
