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Case Report
Adult-onset Still’s disease: A diagnosis to remember
1 MD, Resident of Internal Medicine, Internal Medicine Department, Hospital de Braga, Braga, Portugal
2 MD, Resident of Intensive Care Medicine, Intensive Care Unit, Hospital de Braga, Braga, Portugal
3 MD, Internist, Internal Medicine Department, Hospital de Braga, Braga, Portugal
Address correspondence to:
Ana Rita Fernandes Matos
Sete Fontes - São Victor, 4710-243 Braga,
Portugal
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Article ID: 101085Z01AM2020
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How to cite this article
Matos ARF, Coelho E, Caridade S. Adult-onset Still’s disease: A diagnosis to remember. Int J Case Rep Images 2020;11:101085Z01AM2020.ABSTRACT
Introduction: Adult-onset Still’s disease (AOSD) is a rare systemic inflammatory disorder that occurs mainly in young people. It characteristically presents with the triad of high-grade fever, arthralgia, and salmon-colored evanescent rash, and is a diagnosis of exclusion.
Case Report: We present the case of a 33-year-old man admitted for a second time to the hospital with clinical symptoms compatible with this disease. After exclusion of differential diagnosis, it was concluded that the patient had AOSD and started proper treatment with good response.
Conclusion: This case highlights the importance of thinking in this diagnosis in order to make a timely diagnosis.
Keywords: Adult-onset Still’s disease, Autoinflammatory disease, Fever, Skin rash
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Author Contributions
Ana Rita Fernandes Matos - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Elisabete Coelho - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Sofia Caridade - Conception of the work, Design of the work, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2020 Ana Rita Fernandes Matos et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
