Still Disease: A Diagnosis of Exclusion

Abstract

Still disease is an inflammatory condition characterized by fever, arthralgia, and skin rash. It is a rare entity associated with nonspecific manifestations and becoming a diagnosis of exclusion. Therefore, it is essential to exclude infectious pathologies, as well as autoimmune pathologies and neoplastic conditions. The authors describe the case of a 24-year-old girl hospitalized in the Internal Medicine Department, with fever, arthralgia and maculopapular exanthema with two weeks duration. During hospitalization, a exhausting study was proposed and other possible etiologies were excluded. She was diagnosed with Still disease and started corticosteroid therapy. She was oriented for the autoimmune external consult.