Brain Neurorehabil.  2018 Sep;11(2):e13. 10.12786/bn.2018.11.e13.

Adult-onset Still's Disease as the First Manifestation of Cerebral Infarction: a Case Report

Affiliations
  • 1Department of Rehabilitation Medicine, Dong-Eui Medical Center, Busan, Korea.
  • 2Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. dykimsmart@gmail.com

Abstract

Adult-onset Still's disease (AOSD) is a rare systemic febrile disorder of unknown etiology. AOSD is characterized by spiking fever, arthralgia, sore throat, skin rash, and multi-organ involvement but is difficult to diagnose due to the lack of specific clinical features. AOSD is most frequently observed among young adults. We describe the case of an 18-year-old male patient with multiple cerebral infarction who was diagnosed with AOSD based on the clinical features observed during rehabilitation treatment after the diagnosis of ischemic stroke. Clinical symptoms of the patient was controlled with steroid therapy. If cerebral infarction is accompanied by unusual clinical features as non-infectious fever, rash, and arthralgia, AOSD should be considered in young stroke patient.

Keyword

Adult-onset Still's Disease; Cerebral Infarction; Fever of Unknown Origin

MeSH Terms

Adolescent
Arthralgia
Cerebral Infarction*
Diagnosis
Exanthema
Fever
Fever of Unknown Origin
Humans
Male
Pharyngitis
Rehabilitation
Still's Disease, Adult-Onset*
Stroke
Young Adult
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