Abstract
Adult onset Still's disease (AOSD) is a distinct clinical entity which affects predominantly young adults aged 16-35 years. Onset in elderly individuals is exceptional. Several reports have suggested a viral trigger in the pathogenesis of this disease. We describe a 66-year-old woman who fulfilled the proposed diagnostic criteria of AOSD and suffered concurrently from acute Epstein-Barr virus (EBV) infection.
MeSH terms
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Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
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Antibodies, Antinuclear / analysis
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Antirheumatic Agents / therapeutic use
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Arthralgia / complications
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Blood Sedimentation
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Female
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Ferritins / blood
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Fever / complications
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Herpesviridae Infections / complications*
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Herpesvirus 4, Human
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Humans
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Ibuprofen / therapeutic use
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Methotrexate / therapeutic use
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Middle Aged
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Rheumatoid Factor / analysis
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Still's Disease, Adult-Onset / complications
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Still's Disease, Adult-Onset / drug therapy
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Still's Disease, Adult-Onset / virology*
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Tumor Virus Infections / complications*
Substances
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Anti-Inflammatory Agents, Non-Steroidal
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Antibodies, Antinuclear
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Antirheumatic Agents
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Ferritins
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Rheumatoid Factor
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Ibuprofen
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Methotrexate