Oral mucosa lesions as atypical manifestation of adult-onset Still´s disease
An. bras. dermatol
;
93(2): 271-273, Mar.-Apr. 2018. graf
Article
in English
| LILACS
| ID: biblio-887197
ABSTRACT
Abstract Adult-onset Still's disease is a systemic inflammatory disorder of unknown etiology, characterized by skin rash, spiking fever, arthralgias or arthritis, and leukocytosis. The typical skin rash is evanescent, salmon-pink, nonpruritic and maculopapular, predominantly on the extremities. It is considered one of the major Yamaguchi's criteria in adult-onset Still's disease. However, atypical skin lesions are also described. Here, a 61-year-old woman with sore throat, spiking fever, polyarthritis and evanescent salmon-pink nonpruritic maculopapular skin rash on the extremities was diagnosed with adult-onset Still's disease. In addition, atypical brown macules on oral mucosa, localized on the inner lips and tongue were also observed. Biopsy revealed a neutrophilic infiltrate. Despite treatment and improvement of the adult-onset Still's disease, the atypical oral mucosal lesions persisted.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Still's Disease, Adult-Onset
/
Mouth Diseases
/
Mouth Mucosa
Type of study:
Diagnostic study
Limits:
Female
/
Humans
Language:
English
Journal:
An. bras. dermatol
Journal subject:
Dermatology
Year:
2018
Type:
Article
Affiliation country:
Argentina
Institution/Affiliation country:
Rheumatology Centre/AR
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