Open AccessFever with persistent flagellate erythema in a primigravida: a rare presentation of adult-onset Still’s disease
Author(s) -
Riti Bhatia,
Nidhi Kaeley,
Ravi Kant,
Ankith Basi
Publication year - 2019
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2019-229332
Subject(s) - medicine , dermatology , erythema , maculopapular rash , dermatomyositis , rare disease , presentation (obstetrics) , disease , emergency department , surgery , pathology , rash , psychiatry
We describe a case of a 25-year-old primigravida, who presented to the emergency department with fever, arthralgia and erythematous maculopapular eruption. There was confluent violaceous macular erythema on the arms, v-area of the neck and upper back with periorbital oedema, mimicking dermatomyositis. There was flagellate erythema on the back. Skin biopsy and systemic investigations helped to rule out dermatomyositis. A final diagnosis of adult-onset Still's disease with atypical cutaneous manifestations was made. This atypical variant is associated with a worse prognosis. Early recognition of this clinical variant can be life-saving for the patient.