Still’s Disease – Unlikely Diagnosis on the Old Age

Abstract

Adult Still's Disease is a rare systemic inflammatory disease. It is characteristically identified in the young adult, with few cases described in older patients. The aetiology and pathogenesis remain unknown. The absence of uniformly accepted diagnostic criteria may contribute to underdiagnosis. We present a case of 74-year-old patient with fever, polyarthralgia, odynophagia, salmon evanescent rash, elevated inflammatory parameters and serum ferritin. Excluded other diagnostics (infections, neoplasias and other immune diseases), the diagnosis of Adult Still's Disease was assumed.