Adult onset Still’s disease: a diagnostic challenge


  • Rahul Jain Department of General Medicine, Grant Govt. Medical College, Mumbai, Maharashtra, India
  • V. K. Joglekar Department of General Medicine, Grant Govt. Medical College, Mumbai, Maharashtra, India
  • Kriti Jain Department of Dermatology, Subharti Medical College, Meerut, UP, India



Fever, Skin rash, Arthralgia, Adult onset Still’s disease


Adult Still’s disease (ASD) is a systemic inflammatory disorder of unknown etiology, typically characterized by a clinical triad of daily spiking high fevers, evanescent rash, and arthritis. This report described a 26-year-old male who presented with these symptoms along with raised liver enzymes and hyperferritinemia. After ruling out systemic infections, localized infections, malignancies and other rheumatological diseases, Adult onset Still’s disease diagnosis was made according to Yamaguchi criteria (having 4 major features and 3 minor features). AOSD is a heterogeneous and rare disease and the lack of serologic markers as a true gold standard makes diagnosis difficult.

Author Biography

Rahul Jain, Department of General Medicine, Grant Govt. Medical College, Mumbai, Maharashtra, India

department of Dermatology

Subharti Medical College


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