Still's disease in adults Flashcards

1
Q

Bimodal age distribution

A

15-25 yrs and 35-46 yrs

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2
Q

Clinical features

A

arthralgia
pink, maculopapular rash

pyrexia late afternoon/early evening + accompanies a worsening of joint symptoms
lymphadenopathy

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3
Q

Elevated blood test

A

elevated serum ferritin

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4
Q

Are rheumatoid factor and ANA positive or negative?

A

rheumatoid factor (RF) and anti-nuclear antibody (ANA) negative

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5
Q

Management of still’s disease

A

NSAIDs
steroids
methotrexate, IL-1 or anti-TNF therapy can be considered

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6
Q
A
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