Enfermedad de Still - Diagnóstico infregente en la Edad Vieja
Adult Still's Disease is a rare systemic inflammatory disease. It is characteristically identified in the young adult, with few cases described in older patients. The aetiology and pathogenesis remain unknown. The absence of uniformly accepted diagnostic criteria may contribute to underdiagnosi...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Sociedade Galega de Medicina Interna
2019-07-01
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| Series: | Galicia Clínica |
| Subjects: | |
| Online Access: | https://galiciaclinica.info/publicacion.asp?f=1806 |
| _version_ | 1818256753646632960 |
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| author | Ana Nogueira Tiago Fernandes Ana Costa |
| author_facet | Ana Nogueira Tiago Fernandes Ana Costa |
| author_sort | Ana Nogueira |
| collection | DOAJ |
| description | Adult Still's Disease is a rare systemic inflammatory disease. It is characteristically identified in the young adult, with few cases described in older patients. The aetiology and pathogenesis remain unknown. The absence of uniformly accepted diagnostic criteria may contribute to underdiagnosis.
We present a case of 74-year-old patient with fever, polyarthralgia, odynophagia, salmon evanescent rash, elevated inflammatory parameters and serum ferritin. Excluded other diagnostics (infections, neoplasias and other immune diseases), the diagnosis of Adult Still's Disease was assumed. The clinical and analytical improvements with immunosuppressive therapy, and long follow-up without symptomatology, give strength to the diagnosis.
We present this case by rarity of this pathology in this age and to illustrate how an apparently banal clinical picture may represent a diagnostic challenge. |
| first_indexed | 2024-12-12T17:32:46Z |
| format | Article |
| id | doaj.art-6e27d8474ae54126bee67d99b2fa860a |
| institution | Directory Open Access Journal |
| issn | 0304-4866 1989-3922 |
| language | English |
| last_indexed | 2024-12-12T17:32:46Z |
| publishDate | 2019-07-01 |
| publisher | Sociedade Galega de Medicina Interna |
| record_format | Article |
| series | Galicia Clínica |
| spelling | doaj.art-6e27d8474ae54126bee67d99b2fa860a2022-12-22T00:17:18ZengSociedade Galega de Medicina InternaGalicia Clínica0304-48661989-39222019-07-01803535510.22546/53/18061806Enfermedad de Still - Diagnóstico infregente en la Edad ViejaAna Nogueira0Tiago Fernandes1Ana Costa2Hospital Pedro Hispano Centro Hospitalar Gaia Espinho Hospital Pedro Hispano Adult Still's Disease is a rare systemic inflammatory disease. It is characteristically identified in the young adult, with few cases described in older patients. The aetiology and pathogenesis remain unknown. The absence of uniformly accepted diagnostic criteria may contribute to underdiagnosis. We present a case of 74-year-old patient with fever, polyarthralgia, odynophagia, salmon evanescent rash, elevated inflammatory parameters and serum ferritin. Excluded other diagnostics (infections, neoplasias and other immune diseases), the diagnosis of Adult Still's Disease was assumed. The clinical and analytical improvements with immunosuppressive therapy, and long follow-up without symptomatology, give strength to the diagnosis. We present this case by rarity of this pathology in this age and to illustrate how an apparently banal clinical picture may represent a diagnostic challenge.https://galiciaclinica.info/publicacion.asp?f=1806Enfermedad de Still del adultofiebre de origen desconocidoartralgiaferritina |
| spellingShingle | Ana Nogueira Tiago Fernandes Ana Costa Enfermedad de Still - Diagnóstico infregente en la Edad Vieja Galicia Clínica Enfermedad de Still del adulto fiebre de origen desconocido artralgia ferritina |
| title | Enfermedad de Still - Diagnóstico infregente en la Edad Vieja |
| title_full | Enfermedad de Still - Diagnóstico infregente en la Edad Vieja |
| title_fullStr | Enfermedad de Still - Diagnóstico infregente en la Edad Vieja |
| title_full_unstemmed | Enfermedad de Still - Diagnóstico infregente en la Edad Vieja |
| title_short | Enfermedad de Still - Diagnóstico infregente en la Edad Vieja |
| title_sort | enfermedad de still diagnostico infregente en la edad vieja |
| topic | Enfermedad de Still del adulto fiebre de origen desconocido artralgia ferritina |
| url | https://galiciaclinica.info/publicacion.asp?f=1806 |
| work_keys_str_mv | AT ananogueira enfermedaddestilldiagnosticoinfregenteenlaedadvieja AT tiagofernandes enfermedaddestilldiagnosticoinfregenteenlaedadvieja AT anacosta enfermedaddestilldiagnosticoinfregenteenlaedadvieja |