Adult Onset Still's Disease and Rocky Mountain Spotted Fever

Adult Still's Disease was first described in 1971 by Bywaters in fourteen adult female patients who presented with symptoms indistinguishable from that of classic childhood Still's Disease (Bywaters, 1971). George Still in 1896 first recognized this triad of quotidian (daily) fevers, evane...

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Main Authors: Paul Persad, Rajendrakumar Patel, Niki Patel
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2010/621046
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author Paul Persad
Rajendrakumar Patel
Niki Patel
author_facet Paul Persad
Rajendrakumar Patel
Niki Patel
author_sort Paul Persad
collection DOAJ
description Adult Still's Disease was first described in 1971 by Bywaters in fourteen adult female patients who presented with symptoms indistinguishable from that of classic childhood Still's Disease (Bywaters, 1971). George Still in 1896 first recognized this triad of quotidian (daily) fevers, evanescent rash, and arthritis in children with what later became known as juvenile inflammatory arthritis (Still, 1990). Adult Onset Still's Disease (AOSD) is an inflammatory condition of unknown etiology characterized by an evanescent rash, quotidian fevers, and arthralgias. Numerous infectious agents have been associated with its presentation. This case is to our knowledge the first presentation of AOSD in the setting of Rocky Mountain Spotted Fever. Although numerous infectious agents have been suggested, the etiology of this disorder remains elusive. Nevertheless, infection may in fact play a role in triggering the onset of symptoms in those with this disorder. Our case presentation is, to our knowledge, the first case of Adult Onset Still's Disease associated with Rocky Mountain spotted fever (RMSF).
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spelling doaj-art-afeb00b5c8934d248995e8c6557206e02025-02-03T05:58:20ZengWileyCase Reports in Medicine1687-96271687-96352010-01-01201010.1155/2010/621046621046Adult Onset Still's Disease and Rocky Mountain Spotted FeverPaul Persad0Rajendrakumar Patel1Niki Patel2Department of Internal Medicine, Mercer University School of Medicine, Macon, GA 31201-0001, USADepartment of Internal Medicine, Mercer University School of Medicine, Macon, GA 31201-0001, USADepartment of Internal Medicine, Mercer University School of Medicine, Macon, GA 31201-0001, USAAdult Still's Disease was first described in 1971 by Bywaters in fourteen adult female patients who presented with symptoms indistinguishable from that of classic childhood Still's Disease (Bywaters, 1971). George Still in 1896 first recognized this triad of quotidian (daily) fevers, evanescent rash, and arthritis in children with what later became known as juvenile inflammatory arthritis (Still, 1990). Adult Onset Still's Disease (AOSD) is an inflammatory condition of unknown etiology characterized by an evanescent rash, quotidian fevers, and arthralgias. Numerous infectious agents have been associated with its presentation. This case is to our knowledge the first presentation of AOSD in the setting of Rocky Mountain Spotted Fever. Although numerous infectious agents have been suggested, the etiology of this disorder remains elusive. Nevertheless, infection may in fact play a role in triggering the onset of symptoms in those with this disorder. Our case presentation is, to our knowledge, the first case of Adult Onset Still's Disease associated with Rocky Mountain spotted fever (RMSF).http://dx.doi.org/10.1155/2010/621046
spellingShingle Paul Persad
Rajendrakumar Patel
Niki Patel
Adult Onset Still's Disease and Rocky Mountain Spotted Fever
Case Reports in Medicine
title Adult Onset Still's Disease and Rocky Mountain Spotted Fever
title_full Adult Onset Still's Disease and Rocky Mountain Spotted Fever
title_fullStr Adult Onset Still's Disease and Rocky Mountain Spotted Fever
title_full_unstemmed Adult Onset Still's Disease and Rocky Mountain Spotted Fever
title_short Adult Onset Still's Disease and Rocky Mountain Spotted Fever
title_sort adult onset still s disease and rocky mountain spotted fever
url http://dx.doi.org/10.1155/2010/621046
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