Adult onset still’s disease: a diagnostic dilemma

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dc.contributor.authorReddy, Dugganapalli Dinesh Kumaren_US
dc.contributor.authorSindhusha, Veeraballien_US
dc.contributor.authorJagadeesh, Mettaen_US
dc.date.accessioned2020-04-09T07:42:50Z
dc.date.available2020-04-09T07:42:50Z
dc.date.issued2019-11
dc.description.abstractAdult onset still’s disease is a rare systemic inflammatory disorder of unknown aetiology, characterized by clinical triad (high spiking fever, evanescent rash and arthritis) and biological triad with lack of serological markers as a true gold standard makes diagnosis difficulty. Here is a case of 32year old male presented with high grade fever for 2 months, joint pains and swelling for 1month rash for 3 days. O/E: pallor and B/L tender, swollen ankle and knee joints, and P/A: splenomegaly. Investigations showed-Hb%. 8 gms, neutrophilic leucocytosis with thrombocytosis, ESR:72 mm/1h, CRP elevated. ASO-titre, RA factor and Anti CCP antibodies are negative. Adult onset still’s disease is a heterogenous and rare systemic inflammatory disorder of unknown aetiology with lack of serological diagnostic modalities.en_US
dc.identifier.affiliationsDepartment of Medicine, Rangaraya Medical College, Kakinada, Andhra Pradesh, Indiaen_US
dc.identifier.affiliationsDepartment of Medicine, SV Medical Vollege, Tirupati, Andhra Pradesh, Indiaen_US
dc.identifier.citationReddy Dugganapalli Dinesh Kumar, Sindhusha Veeraballi, Jagadeesh Metta. Adult onset still’s disease: a diagnostic dilemma. International Journal of Advances in Medicine. 2019 Nov; 6(6): 1950-1952en_US
dc.identifier.issn2349-3925
dc.identifier.issn2349-3933
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/194435
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber6en_US
dc.relation.volume6en_US
dc.source.urihttps://dx.doi.org/10.18203/2349-3933.ijam20195258en_US
dc.subjectAdult onset still’s diseaseen_US
dc.subjectArthritisen_US
dc.subjectEvanescent rashen_US
dc.subjectHigh spiking feveren_US
dc.subjectPyrexia of unknown originen_US
dc.titleAdult onset still’s disease: a diagnostic dilemmaen_US
dc.typeJournal Articleen_US
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