Erschienen in:
09.07.2020 | Case Based Review
Neurological manifestations of adult-onset Still’s disease—case-based review
verfasst von:
Mariana Santos, Daniela Rodrigues, Helder Santos, Catarina Parente, Catarina Carvalho, Rodrigo Rufino, Inês Almeida, Hugo Miranda, António Cardoso, Martinho Fernandes
Erschienen in:
Clinical Rheumatology
|
Ausgabe 1/2021
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Abstract
Adult-onset Still’s disease (AOSD) is a rare inflammatory disorder in which pathophysiology is yet to be fully understood. We report the case of a 66-year-old male that presents with fever, arthralgia, and laboratory abnormalities suggestive of a systemic inflammatory disease. During a diagnostic workout, the patient developed neurological symptoms, namely a sudden confounding syndrome and hearing loss that improved with corticosteroid therapy. After exclusion of malignancy, infection—namely nervous system infection—and other rheumatic diseases, AOSD diagnosis was made using the Yamaguchi criteria. In some rare cases, neurological symptoms are present and the diagnosis may become even more challenging if the clinicians are not aware of these rare manifestations of AOSD. Therefore, the authors present the case of a patient with neurological manifestations of AOSD.