Adult-onset Still's disease history and symptoms: Difference between revisions
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{{Adult-onset Still’s disease}} | {{Adult-onset Still’s disease}} | ||
{{CMG}}; {{AE}} {{HK}} | |||
{{CMG}}; {{AE}} | |||
==Overview== | ==Overview== | ||
Obtaining a comprehensive history is an integral part of diagnosing adult-onset Still's disease (AOSD). The typical age of onset of adult-onset Still's disease (AOSD) is between 16 to 35 years of age. A patient suffering from AOSD may present with a [[fever]] greater than equal to 39 degrees celcius (102.2 degrees Fahrenheit) for greater than equal to 1 week along with associated [[arthralgia]]/[[arthritis]] for greater than equal to 2 weeks. There may be a [[maculopapular]] non-[[Pruritis|pruritic]] rash on the [[trunk]] or [[limbs]]. Patients may also complain of [[sore throat]] and [[lymphadenopathy]]. The [[symptoms]] of AOSD evolve over a period of weeks. | |||
==History== | ==History== | ||
Obtaining a comprehensive history is an integral part of diagnosing adult-onset Still's disease (AOSD). The following findings on history may help identify AOSD:<ref name="pmid36592482">{{cite journal |vauthors=Wouters JM, van de Putte LB |title=Adult-onset Still's disease; clinical and laboratory features, treatment and progress of 45 cases |journal=Q. J. Med. |volume=61 |issue=235 |pages=1055–65 |date=November 1986 |pmid=3659248 |doi= |url=}}</ref> | |||
=== Age of onset === | === Age of onset === | ||
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=== Family history === | === Family history === | ||
* Adult onset Still's disease (AOSD) is not a genetic/hereditary condition but it is known to be associated with various HLA alleles. | * Adult onset Still's disease (AOSD) is not a [[genetic]]/[[hereditary]] condition but it is known to be associated with various [[Human leukocyte antigen|HLA]] [[alleles]]. | ||
=== Initial presentation === | === Initial presentation === | ||
* A patient suffering from AOSD may present with a fever greater than equal to 39 | * A patient suffering from AOSD may present with a [[fever]] greater than equal to 39 degrees celcius for greater than equal to 1 week along with associated [[arthralgia]]/[[arthritis]] for greater than equal to 2 weeks. There may be a [[maculopapular]] non-[[Pruritis|pruritic]] rash on the [[trunk]] or [[limbs]]. Patients may also complain of [[sore throat]] and [[lymphadenopathy]]. Physicians should rule out other causes of [[fever]] and [[arthralgia]] for example, [[septic arthritis]], [[rheumatoid arthritis]], drug reaction and [[malignancy]]. | ||
=== Past medical history === | === Past medical history === | ||
* The symptoms of AOSD evolve over a period of weeks. | * The [[symptoms]] of AOSD evolve over a period of weeks. | ||
==Symptoms== | ==Symptoms== | ||
=== Common symptoms === | === Common symptoms === | ||
The common symptoms of AOSD include the following: | The common [[symptoms]] of AOSD include the following:<ref name="pmid16219707">{{cite journal |vauthors=Efthimiou P, Paik PK, Bielory L |title=Diagnosis and management of adult onset Still's disease |journal=Ann. Rheum. Dis. |volume=65 |issue=5 |pages=564–72 |date=May 2006 |pmid=16219707 |pmc=1798146 |doi=10.1136/ard.2005.042143 |url=}}</ref><ref name="pmid3659248">{{cite journal |vauthors=Wouters JM, van de Putte LB |title=Adult-onset Still's disease; clinical and laboratory features, treatment and progress of 45 cases |journal=Q. J. Med. |volume=61 |issue=235 |pages=1055–65 |date=November 1986 |pmid=3659248 |doi= |url=}}</ref> | ||
* Spiking fever greater than equal to 39 C for greater than equal to 1 week | * Spiking [[fever]] greater than equal to 39 C for greater than equal to 1 week | ||
* Arthralgia for greater than equal to 2 weeks | * [[Arthralgia]] for greater than equal to 2 weeks | ||
* Maculopapular non-pruritic rash on the trunk or limbs | * [[Maculopapular]] non-pruritic rash on the [[trunk]] or [[limbs]] | ||
* Sore throat | * [[Sore throat]] | ||
* Lymphadenopathy | * [[Lymphadenopathy]] | ||
=== Less common symptoms === | === Less common symptoms === | ||
Less common symptoms of AOSD include the following: | Less common [[symptoms]] of AOSD include the following:<ref name="pmid8869216">{{cite journal |vauthors=Masson C, Le Loët X, Lioté F, Renou P, Dubost JJ, Boissier MC, Brithmer L, Brégeon C, Audran M |title=Adult Still's disease: part I. Manifestations and complications in sixty-five cases in France |journal=Rev Rhum Engl Ed |volume=62 |issue=11 |pages=748–57 |date=December 1995 |pmid=8869216 |doi= |url=}}</ref> | ||
* Myalgias | * [[Myalgias]] | ||
* Dyspnea | * [[Dyspnea]] | ||
* Edema | * [[Edema]] | ||
* Soft tissue swelling | * [[Soft tissue]] [[swelling]] | ||
==References== | ==References== | ||
Latest revision as of 14:11, 23 April 2018
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Adult-onset Still's disease |
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Differentiating Adult-onset Still’s Disease from other Diseases |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Syed Hassan A. Kazmi BSc, MD [2]
Overview
Obtaining a comprehensive history is an integral part of diagnosing adult-onset Still's disease (AOSD). The typical age of onset of adult-onset Still's disease (AOSD) is between 16 to 35 years of age. A patient suffering from AOSD may present with a fever greater than equal to 39 degrees celcius (102.2 degrees Fahrenheit) for greater than equal to 1 week along with associated arthralgia/arthritis for greater than equal to 2 weeks. There may be a maculopapular non-pruritic rash on the trunk or limbs. Patients may also complain of sore throat and lymphadenopathy. The symptoms of AOSD evolve over a period of weeks.
History
Obtaining a comprehensive history is an integral part of diagnosing adult-onset Still's disease (AOSD). The following findings on history may help identify AOSD:[1]
Age of onset
- The typical age of onset of adult-onset Still's disease (AOSD) is between 16 to 35 years of age.
Family history
- Adult onset Still's disease (AOSD) is not a genetic/hereditary condition but it is known to be associated with various HLA alleles.
Initial presentation
- A patient suffering from AOSD may present with a fever greater than equal to 39 degrees celcius for greater than equal to 1 week along with associated arthralgia/arthritis for greater than equal to 2 weeks. There may be a maculopapular non-pruritic rash on the trunk or limbs. Patients may also complain of sore throat and lymphadenopathy. Physicians should rule out other causes of fever and arthralgia for example, septic arthritis, rheumatoid arthritis, drug reaction and malignancy.
Past medical history
- The symptoms of AOSD evolve over a period of weeks.
Symptoms
Common symptoms
The common symptoms of AOSD include the following:[2][3]
- Spiking fever greater than equal to 39 C for greater than equal to 1 week
- Arthralgia for greater than equal to 2 weeks
- Maculopapular non-pruritic rash on the trunk or limbs
- Sore throat
- Lymphadenopathy
Less common symptoms
Less common symptoms of AOSD include the following:[4]
References
- ↑ Wouters JM, van de Putte LB (November 1986). "Adult-onset Still's disease; clinical and laboratory features, treatment and progress of 45 cases". Q. J. Med. 61 (235): 1055–65. PMID 3659248.
- ↑ Efthimiou P, Paik PK, Bielory L (May 2006). "Diagnosis and management of adult onset Still's disease". Ann. Rheum. Dis. 65 (5): 564–72. doi:10.1136/ard.2005.042143. PMC 1798146. PMID 16219707.
- ↑ Wouters JM, van de Putte LB (November 1986). "Adult-onset Still's disease; clinical and laboratory features, treatment and progress of 45 cases". Q. J. Med. 61 (235): 1055–65. PMID 3659248.
- ↑ Masson C, Le Loët X, Lioté F, Renou P, Dubost JJ, Boissier MC, Brithmer L, Brégeon C, Audran M (December 1995). "Adult Still's disease: part I. Manifestations and complications in sixty-five cases in France". Rev Rhum Engl Ed. 62 (11): 748–57. PMID 8869216.