Celiac disease: association with adult-onset Still's disease: apropos of a clinical case.
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2007-07-06
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Abstract
Adult-onset Still's disease (AOSD) is a rheumatic disorder of unknown etiology characterized by a triad of fever, polyarthritis and evanescent rash. We present a case report of a 28-year-old female who presented with complaints of fever, joint pains, rash, weakness for the past 4 years and diarrhea for the past 2 years. On investigation the patient was diagnosed to be a case of AOSD. Duodenal biopsy report was suggestive of celiac disease with a positive IgA tissue transglutaminase and anti-endomysial antibody. The patient was started on weekly methotrexate and gluten-free diet and her symptoms gradually improved. The patient remains in our follow-up and is doing well.
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Kumar S, Gupta N, Jhamb R, Mishra D. Celiac disease: association with adult-onset Still's disease: apropos of a clinical case. Indian Journal of Medical Sciences. 2007 Jul; 61(7): 414-7