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Rev. Soc. Bras. Clín. Méd ; 18(2): 87-90, abril/jun 2020.
Article in Portuguese | LILACS | ID: biblio-1361367

ABSTRACT

A doença de Still do adulto é uma rara condição inflamatória, cujo diagnóstico é um desafio, por se tratar de diagnóstico de exclusão, após vasta investigação. Manifesta-se com febre alta diária, amigdalite não supurativa, artrite, rash evanescente, leucocitose e hiperferritinemia. O presente caso demonstra a doença de Still do adulto e sua vasta investigação, motivando a realização de revisão bibliográfica sobre inovações na fisiopatologia, no diagnóstico e no tratamento.


Adult onset Still's disease is a rare inflammatory condition, the diagnosis of which is a challenge, because it is a diagnosis of exclusion, and demands extensive investigation. It manifests with high daily fever, nonsuppurative tonsillitis, arthritis, evanescent rash, leukocytosis, and hyperferritinemia. The present case de­monstrates adult-onset Still's disease and its extensive inves­tigation, motivating literature review on innovations of its pathophysiology, diagnosis, and treatment.


Subject(s)
Humans , Female , Adult , Young Adult , Still's Disease, Adult-Onset/diagnosis , Aspartate Aminotransferases/blood , Rheumatoid Factor/blood , Splenomegaly , Blood Sedimentation , C-Reactive Protein/analysis , Pharyngitis , Rheumatic Diseases/diagnosis , Still's Disease, Adult-Onset/drug therapy , Adrenal Cortex Hormones/therapeutic use , Arthralgia , Antirheumatic Agents/therapeutic use , Rare Diseases/diagnosis , Diagnosis, Differential , Alanine Transaminase/blood , Exanthema , Fever , Hyperferritinemia/blood , Infections/diagnosis , Leukocytosis/blood , Neoplasms/diagnosis
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