Case report of atypical Still’s disease: a diagnosis of exclusion
| Autor: | Tejaswini Vasamsetty, Sandeep Yerra, Letlhogonolo Tlhabano |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Pediatrics
medicine.medical_specialty rheumatology Case Report immunology 03 medical and health sciences Pericarditis 0302 clinical medicine medicine Palpitations adult Still’s disease Adult Still's disease medicine.diagnostic_test business.industry General Medicine Emergency department medicine.disease Diagnosis of exclusion Pneumonia hemophagocytic lymphohistiocytosis 030220 oncology & carcinogenesis Erythrocyte sedimentation rate Differential diagnosis medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | International Medical Case Reports Journal |
| ISSN: | 1179-142X |
| Popis: | Introduction We present an unusual presentation of a 39-year-old man with myalgias and shortness of breath. Chief complaints The patient presented to the emergency department with complaints of myalgias, shortness of breath and palpitations. During this hospitalization, he had multiple episodes of tachycardia and desaturation. The patient had elevated troponins and creatinine kinase. Differential diagnosis included pericarditis, pneumonia and malignancy. Investigations The patient had elevated ferritin and erythrocyte sedimentation rate. Outcome The patient had adult Still's disease. Lesson This case shows how the presentation and symptom complex of Still's disease together with the lack of specific serological markers can misguide the diagnosis. |
| Databáze: | OpenAIRE |
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