A rare case of adult-onset Still’s disease with peripheral neuropathy

Authors

  • Kathan Pankaj Buch Department Of Internal Medicine, Yash Multispeciality Hospital, Bhavanagar, Gujarat, India
  • Anshu Kishor Solanki Department Of Internal Medicine, Yash Multispeciality Hospital, Bhavanagar, Gujarat, India
  • Shrey Rajesh Gondaliya Department Of Internal Medicine, Jagruti Multispeciality Hospital, Jamnagar, Gujarat, India

DOI:

https://doi.org/10.18203/2349-3933.ijam20250382

Keywords:

Neuropathy, Still’s disease, Fever

Abstract

Adult onset stills disease is a rare multisystem inflammatory autoimmune disorder which is characterized by a triad of fever, joint pain, and a transient salmon-pink maculopapular rash. Here we present a rare case of 27-year-old female who presented with symptoms of fever, polyarthritis for 2 months, and ulceration of right foot and numbness of left hand for 20 days. The diagnosis of adult-onset Still’s disease (AOSD) was confirmed as patient fulfilled the Yamaguchi criteria. The presentation, diagnostic work up and management is discussed and the current literature pertaining to this interesting case is reviewed.

Metrics

Metrics Loading ...

References

Giacomelli R, Ruscitti P, Shoenfeld Y. A comprehensive review on adult onset Still's disease. J Autoimmun. 2018;93:24-36. DOI: https://doi.org/10.1016/j.jaut.2018.07.018

Efthimiou P, Yadlapati S. Adult-Onset Still’s Disease. Auto-Inflammatory Syndromes. 2018;33(3)261-76. DOI: https://doi.org/10.1007/978-3-319-96929-9_19

Van de Putte LB, Wouters JM. Adult-onset Still's disease. Baillieres Clin Rheumatol. 1991;5(2):263-75. DOI: https://doi.org/10.1016/S0950-3579(05)80283-3

Zhao M, Wu D, Shen M. Adult-onset Still's disease with neurological involvement: a single-centre report. Rheumatology (Oxford). 2021;60(9):4152-57. DOI: https://doi.org/10.1093/rheumatology/keaa899

Wouters JM, Reekers P, van de Putte LB. Adult-onset Still's disease. Disease course and HLA associations. Arthritis Rheum. 1986;29(3):415-8. DOI: https://doi.org/10.1002/art.1780290316

Efthimiou P, Paik PK, Bielory L. Diagnosis and management of adult onset Still's disease. Ann Rheum Dis. 2006;65(5):564-72. DOI: https://doi.org/10.1136/ard.2005.042143

Macovei LA, Burlui A, Bratoiu I, Rezus C, Cardoneanu A, Richter P, et al. Adult-Onset Still's Disease-A Complex Disease, a Challenging Treatment. Int J Mol Sci. 2022;23(21):12810. DOI: https://doi.org/10.3390/ijms232112810

Downloads

Published

2025-02-21

How to Cite

Buch, K. P., Solanki, A. K., & Gondaliya, S. R. (2025). A rare case of adult-onset Still’s disease with peripheral neuropathy. International Journal of Advances in Medicine, 12(2), 239–241. https://doi.org/10.18203/2349-3933.ijam20250382

Issue

Section

Case Reports