Indian Journal of Dermatology
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Year : 2013  |  Volume : 58  |  Issue : 5  |  Page : 405

A case of adult-onset Still's disease presenting with urticated plaques and acute myopericarditis

Department of Dermatology, National Skin Centre, Mandalay Road, Singapore

Correspondence Address:
Noor Hanif Said
National Skin Centre, 1 Mandalay Road, Singapore 308205
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0019-5154.117316

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Adult onset Still's disease (AOSD) is a systemic inflammatory disorder of unknown etiology characterized by spiking fever, evanescent skin rash, arthralgia or arthritis, involvement of various organs, and predominantly neutrophilic leucocytosis. AOSD, although uncommon, has a characteristic constellation of clinical and laboratory features and should be considered in the differential diagnosis of pyrexia of unknown origin associated with a rash and arthralgia. The diagnosis is one of clinical suspicion and it is essential that infections, malignancy, and other rheumatic diseases are excluded. We report a case which illustrates the typical features of AOSD that were treated with steroids and azathioprine.

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