scholarly journals Cardiac Tamponade as a Rare Presentation of Adult-Onset Still's Disease

Cureus ◽  
2021 ◽  
Author(s):  
Shadi Daoud ◽  
Lean Alkhatib ◽  
Aseel Nimri ◽  
Ahmad S Matarneh
2019 ◽  
Vol 12 (7) ◽  
pp. e229332
Author(s):  
Riti Bhatia ◽  
Nidhi Kaeley ◽  
Ravi Kant ◽  
Ankith Basi

We describe a case of a 25-year-old primigravida, who presented to the emergency department with fever, arthralgia and erythematous maculopapular eruption. There was confluent violaceous macular erythema on the arms, v-area of the neck and upper back with periorbital oedema, mimicking dermatomyositis. There was flagellate erythema on the back. Skin biopsy and systemic investigations helped to rule out dermatomyositis. A final diagnosis of adult-onset Still’s disease with atypical cutaneous manifestations was made. This atypical variant is associated with a worse prognosis. Early recognition of this clinical variant can be life-saving for the patient.


2015 ◽  
Vol 42 (3) ◽  
pp. 277-280 ◽  
Author(s):  
Pedro Carrilho-Ferreira ◽  
Doroteia Silva ◽  
Maria de Jesus Silva ◽  
Rui André ◽  
Manuel Gato Varela ◽  
...  

Adult-onset Still's disease is a rare disorder with potentially severe clinical features, including cardiac involvement. This systemic inflammatory disease of unknown origin should be considered in the differential diagnosis of pericarditis, with or without pericardial effusion. Cardiac tamponade is a very rare sequela that requires an invasive approach, such as percutaneous or surgical pericardial drainage, in addition to the usual conservative therapy. The authors describe a case of adult-onset Still's disease rendered more difficult by pericarditis and cardiac tamponade, and they briefly review the literature on this entity.


2021 ◽  
Vol 9 (5) ◽  
Author(s):  
Yuki Hara ◽  
Takayoshi Morita ◽  
Katsunao Tanaka ◽  
Fusako Sera ◽  
Yasushi Sakata ◽  
...  

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