Open AccessAdult Onset Still’s Disease: A Diagnostic Dilemma
Author(s) -
Dinesh Koirala,
U N Pathak,
Prabin Adhikari,
Rajendra Shrestha,
C Neupane
Publication year - 2021
Publication title -
nepal medical college journal
Language(s) - English
Resource type - Journals
ISSN - 2676-1424
DOI - 10.3126/nmcj.v23i1.36240
Subject(s) - medicine , rash , sore throat , etiology , dermatology , adult onset still's disease , disease , arthritis , prednisolone , medical diagnosis , pediatrics , intensive care medicine , pathology , surgery
Adult-onset Still’s disease (ASD) is a rare clinical entity with unknown etiology, characterized by arthritis, fever, evanescent rash and other systemic presentations. This case report describes a 19-year-old male who presented with sore throat, fever, arthritis, evanescent rash, raised liver enzymes and hyperferritinemia. It also reveals the diagnostic dilemma faced during the diagnosis of the disease. He was diagnosed to have ASD based on Yamuguchi criteria after the exclusion of other potential diagnoses. Patient was treated with prednisolone and there was a good response with improvement in symptoms and laboratory indices.