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Colegio de Medicina Interna de México.

2016, Number 1

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Med Int Mex 2016; 32 (1)

Still’s disease in the adult as cause of unknown origin fever

Jiménez-Sánchez JA, Bailón-Becerra A, Domínguez-Borgúa A

Language: Spanish
References: 9
Page: 118-128
PDF size: 674.34 Kb.


ABSTRACT

This article reports the case of a patient in the fifth decade of life who presented wiht fever of unknown origin accompanied by leukocytosis with predominance of neutrophils; evident and masked infections were discarded. During her study protocol anti DNA y ANAS antibodies were requested, as well as rheumatoid factor and complement which were found in normal values. Viral infectious were discarded. Peripheral blood smears taken without infiltrative process data. Respective laboratory studies of the second step of fever of unknown origin were unable to trace the etiology of fever. Finally studies were performed by specific pathology ruling out malaria and brucellosis, confirming the diagnosis of adult Still's disease. Still's disease is a rare adult disease, reporting 0.16 cases per 100,000 people without preference for any genre.


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