An Unusual Presentation of Adult Onset Still’s Disease
- Author:
Anirban Ghosal
;
Radha Binod Pal
;
Somak Kumar Das
;
Tanima Das
- Publication Type:Case Reports
- Keywords:
Adult onset still’s disease, respiratory distress, interstitial pneumonitis, steroid.
- From:
The Medical Journal of Malaysia
2012;67(5):532-533
- CountryMalaysia
- Language:English
-
Abstract:
Adult onset still’s disease usually presents with high grade intermittent fever, polyarthritis, salmon pink evanescent rash and hepatosplenomegaly. Pulmonary involvement in the form of pneumonitis, as a presenting feature is very rare.
We report a case of a young lady who presented with fever,
cough and respiratory distress. Chest X-ray revealed patchy
infiltration in left upper lung zone. She was subsequently
diagnosed as Adult onset Still’s disease. There was no
improvement in clinical condition despite five days of
antibiotics. On trans-bronchial lung biopsy (TBLB) proved
she had interstitial pneumonitis and responded dramatically
to steroid treatment.
