Title |
Case report of atypical Still’s disease: a diagnosis of exclusion
|
---|---|
Published in |
International Medical Case Reports Journal, October 2016
|
DOI | 10.2147/imcrj.s117664 |
Pubmed ID | |
Authors |
Sandeep Yerra, Letlhogonolo Tlhabano, Tejaswini Vasamsetty |
Abstract |
We present an unusual presentation of a 39-year-old man with myalgias and shortness of breath. The patient presented to the emergency department with complaints of myalgias, shortness of breath and palpitations. During this hospitalization, he had multiple episodes of tachycardia and desaturation. The patient had elevated troponins and creatinine kinase. Differential diagnosis included pericarditis, pneumonia and malignancy. The patient had elevated ferritin and erythrocyte sedimentation rate. The patient had adult Still's disease. This case shows how the presentation and symptom complex of Still's disease together with the lack of specific serological markers can misguide the diagnosis. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Unknown | 2 | 100% |
Demographic breakdown
Type | Count | As % |
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Scientists | 1 | 50% |
Practitioners (doctors, other healthcare professionals) | 1 | 50% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Canada | 1 | 6% |
Unknown | 16 | 94% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Master | 4 | 24% |
Student > Bachelor | 2 | 12% |
Researcher | 2 | 12% |
Student > Doctoral Student | 1 | 6% |
Student > Postgraduate | 1 | 6% |
Other | 0 | 0% |
Unknown | 7 | 41% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 8 | 47% |
Biochemistry, Genetics and Molecular Biology | 1 | 6% |
Pharmacology, Toxicology and Pharmaceutical Science | 1 | 6% |
Unknown | 7 | 41% |