Batna Journal of Medical Sciences
Volume 13, Numéro 8, Pages 567-569
2026-07-30
Still's Disease In A 73-year-old Adult, Revealed By Prolonged Fever: A Case Report.
Authors : Ababsa Mouaki Abdelhak .
Abstract
Adult-onset Still's disease is a multisystemic autoinflammatory disorder that can manifest with fever, arthritis, and a skin rash. Diagnosis is clinical and based on typical symptoms, signs, and investigations, after excluding infectious, immunological, rheumatological, and neoplastic causes. We report the case of a 73-year-old man who presented to our clinic with a year-long history of fever, arthralgia, and a skin rash. After extensive investigations, he met the Yamaguchi criteria, and a diagnosis of adult-onset Still's disease was made. Treatment with tapering corticosteroids was initiated, and the patient responded very well. Biologic therapy was planned, but the patient unfortunately died of cardiac arrest during a dialysis session.
Keywords
Adult-onset Still's disease; Fever; Inflammatory syndrome; Yamaguchi criteria; Glucocorticoids
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