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ADULT ONSET STILL'S DISEASE OR COXSACKIE POLYARTHRITIS?
Author(s) -
RobertsThomson P. J.,
Southwood T. R.,
Moore B. W.,
Smith M. D.,
Ahern M. J.,
Geddes R. A.,
Hill W. R.
Publication year - 1986
Publication title -
australian and new zealand journal of medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.596
H-Index - 70
eISSN - 1445-5994
pISSN - 0004-8291
DOI - 10.1111/j.1445-5994.1986.tb02024.x
Subject(s) - medicine , polyarthritis , rash , disease , dermatology , adult onset still's disease , feature (linguistics) , virus , arthritis , immunology , virology , pathology , linguistics , philosophy
The clinical manifestations and laboratory findings of two patients with a presumptive diagnosis of coxsackie B4 virus infection are described. A striking feature was the similarity with adult onset Still's disease, with spiking fever, evanescent macular rash, and severe polyarthritis. This latter feature persisted for many weeks and required steroids to control the symptoms. Review of the literature has supported the proposition that many cases of adult onset Still's disease may be due to coxsackie B4 or other viral infection and it is suggested that these agents should be actively sought in future cases. (Aust NZ J Med 1986; 16: 509–511.)