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Clin Med Insights Case Rep . Diagnosis of Adult Onset Still's Disease in a Patient Who has recovered from Coronavirus-19

tetano

Editor, Senior Moderator
Clin Med Insights Case Rep


. 2021 Feb 19;14:1179547621996306.
doi: 10.1177/1179547621996306. eCollection 2021.
Diagnosis of Adult Onset Still's Disease in a Patient Who has recovered from Coronavirus-19


Abdullah Alshablan[SUP] 1 [/SUP], Reem Jabbad[SUP] 1 [/SUP], Sarah Tayeb[SUP] 1 [/SUP], Tariq Albeshri[SUP] 1 [/SUP], Suvarna Raju Yelamanchili[SUP] 1 [/SUP], Nada Rabie[SUP] 1 [/SUP], Fahdah Almutairi[SUP] 2 [/SUP], Mohammed Samannodi[SUP] 1 3 [/SUP]



Affiliations
Free PMC article

Abstract

Introduction: Adult Still's disease (ASD) is an uncommon inflammatory disorder characterized by fevers, a salmon-colored rash, and arthritis. Cytokines storm syndrome related to Coronavirus-19 (COVID-19) usually occur in acute period of COVID-19 and can mimic clinical features of ASD.
Case report: We present a case of a 27-year-old male who was hospitalized in July 2020 due to fever, sore throat, multiple joint pain, and body rash for 2 weeks. Patient recovered from COVID-19 8 weeks ago but his nasopharyngeal SARS CoV-2 PCR was still positive on current hospitalization. Post COVID-19 cytokines storm syndrome post COVID-19 was suspected but after further assessment and investigations, diagnosis of ASD was established and patient was treated with corticosteroids therapy and had favorable outcome.
Conclusion: During COVID-19 pandemic, diagnosis of many other diseases either were delayed or missed. We encourage all clinicians to have a broader differential diagnosis to improve patient care and outcome.

Keywords: COVID-19; Still?s; adult; cytokines.
 
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