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Çakırtepe Hastanesi
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Adult-Onset Still's Disease

Diagnosis, symptoms, and treatment methods.

General Information About Adult-Onset Still's Disease

Adult-Onset Still's disease is a rare autoinflammatory rheumatic disease of unknown cause, characterized by high fever, salmon-colored skin rashes, and severe joint pain. It can cause joint destruction in advanced stages. In our Rheumatology unit, the inflammatory process is controlled with steroids and immunosuppressive drugs.

Disease Details and Frequently Asked Questions

You can access detailed information about the disease under the headings below.
What is Adult-Onset Still's Disease?

It is the adult-onset systemic form of childhood arthritis (JIA), where the immune system initiates inflammation throughout the body for an unknown reason.

What is the Characteristic Feature of the Fever?

The most typical finding of the disease is daily episodes of 'spiking fever' that exceed 39 degrees Celsius usually at the same time every day (mostly in the evening or at night) and then return to normal.

What are the Symptoms?

Symptoms include salmon (pale pink) colored rashes on the trunk and legs that appear simultaneously with the high fever, sore throat, swollen lymph nodes, and severe joint/muscle pains.

At What Age Does It Occur?

It generally begins in young adults between the ages of 16-35. The disease progresses in a pattern of attacks and periods of recovery (remission).

How is it Diagnosed?

There is no specific blood test. Diagnosis is made by evaluating the combination of prolonged fever, the typical skin rash, and joint findings. Excessively high levels of Ferritin (iron stores) and inflammatory markers (CRP) in blood tests support the diagnosis.

How is it Treated?

Corticosteroids and immune-regulating drugs like methotrexate are used to suppress the inflammatory attacks of the disease. In stubborn cases, modern biological agents (smart drugs) are highly successful in treatment.

Our health library contents are prepared for informational purposes only and with scientific data available at the time of recording. For all your questions, concerns, diagnosis, or treatment regarding your health, please consult your doctor or a healthcare institution.


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