Adult Onset Still´s Disease (AOSD): A rare condition with a classic presentation. Case Report

Introduction: Adult Onset Still´s Disease (AOSD) is a rare systemic inflammatory disease of unclear etiology, with low incidence and prevalence among the general population. AOSD is a common cause of fever of unknown origin (FUO) in up to 20% of cases. Due to the scarce knowledge about this disease...

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Main Authors: Andrés Eduardo Prieto-Torres, Wilson Suárez-Molina, Jaime Iván Pantoja-Agreda
Format: Article
Language:English
Published: Universidad Nacional de Colombia 2020-07-01
Series:Case Reports
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Online Access:https://revistas.unal.edu.co/index.php/care/article/view/83482
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author Andrés Eduardo Prieto-Torres
Wilson Suárez-Molina
Jaime Iván Pantoja-Agreda
author_facet Andrés Eduardo Prieto-Torres
Wilson Suárez-Molina
Jaime Iván Pantoja-Agreda
author_sort Andrés Eduardo Prieto-Torres
collection DOAJ
description Introduction: Adult Onset Still´s Disease (AOSD) is a rare systemic inflammatory disease of unclear etiology, with low incidence and prevalence among the general population. AOSD is a common cause of fever of unknown origin (FUO) in up to 20% of cases. Due to the scarce knowledge about this disease and its diagnosis, it is usually unrecognized in the differential diagnoses, worsening the prognosis and increasing complications in some patients. Case presentation: This is the case of a 32-year-old female patient with prolonged febrile illness, who did not respond to the antimicrobial treatments previously established. She was diagnosed with AOSD according to the Yamaguchi criteria after an extensive exclusion process. She was treated with first-line treatment with corticosteroids, achieving satisfactory results. Conclusions: The diagnosis of AOSD is an exhaustive process. Regardless of the availability of cutting-edge diagnostic tools, the medical history of the patient and an adequate physical examination are the most important aspects to consider.
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spelling doaj-art-d7e1d8a9e0214d5f9efc2cce9ec6eceb2025-08-20T02:05:27ZengUniversidad Nacional de ColombiaCase Reports2462-85222020-07-016210.15446/cr.v6n2.83482Adult Onset Still´s Disease (AOSD): A rare condition with a classic presentation. Case ReportAndrés Eduardo Prieto-Torres0https://orcid.org/0000-0002-0142-7116Wilson Suárez-Molina1https://orcid.org/0000-0002-3409-790XJaime Iván Pantoja-Agreda2https://orcid.org/0000-0003-0619-1840Clínica Medifaca - Internal Medicine Service - Facatativá, Cundinamarca - ColombiaClínica Medifaca - Internal Medicine Service - Facatativá, Cundinamarca - Colombia. Hospital Militar Central - Internal Medicine Service - Bogotá D.C. - Colombia.Clínica Medifaca - Internal Medicine Service - Facatativá, Cundinamarca - Colombia Introduction: Adult Onset Still´s Disease (AOSD) is a rare systemic inflammatory disease of unclear etiology, with low incidence and prevalence among the general population. AOSD is a common cause of fever of unknown origin (FUO) in up to 20% of cases. Due to the scarce knowledge about this disease and its diagnosis, it is usually unrecognized in the differential diagnoses, worsening the prognosis and increasing complications in some patients. Case presentation: This is the case of a 32-year-old female patient with prolonged febrile illness, who did not respond to the antimicrobial treatments previously established. She was diagnosed with AOSD according to the Yamaguchi criteria after an extensive exclusion process. She was treated with first-line treatment with corticosteroids, achieving satisfactory results. Conclusions: The diagnosis of AOSD is an exhaustive process. Regardless of the availability of cutting-edge diagnostic tools, the medical history of the patient and an adequate physical examination are the most important aspects to consider. https://revistas.unal.edu.co/index.php/care/article/view/83482Still’s Disease Adult-OnsetFever of Unknown OriginArthralgiaExanthema
spellingShingle Andrés Eduardo Prieto-Torres
Wilson Suárez-Molina
Jaime Iván Pantoja-Agreda
Adult Onset Still´s Disease (AOSD): A rare condition with a classic presentation. Case Report
Case Reports
Still’s Disease Adult-Onset
Fever of Unknown Origin
Arthralgia
Exanthema
title Adult Onset Still´s Disease (AOSD): A rare condition with a classic presentation. Case Report
title_full Adult Onset Still´s Disease (AOSD): A rare condition with a classic presentation. Case Report
title_fullStr Adult Onset Still´s Disease (AOSD): A rare condition with a classic presentation. Case Report
title_full_unstemmed Adult Onset Still´s Disease (AOSD): A rare condition with a classic presentation. Case Report
title_short Adult Onset Still´s Disease (AOSD): A rare condition with a classic presentation. Case Report
title_sort adult onset still´s disease aosd a rare condition with a classic presentation case report
topic Still’s Disease Adult-Onset
Fever of Unknown Origin
Arthralgia
Exanthema
url https://revistas.unal.edu.co/index.php/care/article/view/83482
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