Still's arthritis in adults: disease or syndrome?
Del Paine, D.W.; Leek, J.C.
Journal of Rheumatology 10(5): 758-762
1983
ISSN/ISBN: 0315-162X PMID: 6644698 Document Number: 208787
Seven adults with a syndrome similar to systemic-onset (Still's) juvenile rheumatoid arthritis are reported. In addition to characteristic fever, rash, and arthritis prominent features included pharyngitis (7), lymphadenopathy (6), pleuropericarditis (4) and progression to joint damage (5). Three were over 50-years-old. Previous reports are reviewed. Symptoms, laboratory and physical findings are broadly comparable to the childhood disease. However findings may be quite variable in individual patients and the diagnosis remains a clinical one. Recognition of the variable presentations of this syndrome will assist in the differential diagnosis of fever of unknown origin.