Health Questions and Answers

Question: Does Still’s disease occur in adults? How is it diagnosed?

Answer:

Still’s disease is the eponym assigned to systemic-onset juvenile arthritis. It has been reported in adults as a seronegative polyarthropathy associated with sudden-onset high fever and chills, with evanescent rash on the trunk and extremities. Bony erosions are uncommon, although fusion of the carpal bones may occur.

Reference: Reginato AJ: Adult onset Still’s disease. In Schumacher HR Jr, et al (eds): Primer on the Rheumatic Diseases, 10th ed. Atlanta, Arthritis Foundation, 1993, pp 182-183.

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