A Rare Case of Adult-onset Still’s Disease with Anti-Ro Antibody Positive
| Autor: | Soujanya Sodavarapu, Rajani Rudrangi, Marium Asad |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Anti-nuclear antibody Arthritis Disease rash ana Rheumatology Prednisone lymphadenopathy Internal Medicine Medicine anti-ro antibody fever business.industry General Engineering medicine.disease Dermatology Rash adult onset still’s disease Oncology arthritis Etiology Methotrexate medicine.symptom business Anti-SSA/Ro autoantibodies medicine.drug |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| Popis: | Adult-onset Still’s disease (AOSD) is a rare systemic inflammatory disorder. The exact pathogenesis is unknown but believed to have multiple etiologies. The Yamaguchi criteria are used to aid in the diagnosis of AOSD. Typical characteristics are spiking fevers, febrile rash, arthritis, and the absence of other serologic markers of rheumatic diseases. We present a case of a 31-year-old Hispanic female who presented with fevers, arthritis, febrile rash, high ferritin levels, and cervical and axillary lymphadenopathies. The unique feature of our case is that the patient was positive for antinuclear antibody (ANA) titers of greater than 1:640 and anti-Ro antibody. She responded with the pulse dose steroids and later prescribed methotrexate and tapered off prednisone with improvement in her symptoms. |
| Databáze: | OpenAIRE |
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