Abstract
Adult-onset Still's disease (AOSD) is an uncommon idiopathic disorder with various clinical manifestations. The absence of specific serological and pathological findings often makes the disease difficult to diagnose. The presence of skin lesions is important to the correct diagnosis of the disease. Various atypical skin lesions have been reported in association with Adult-onset Still's disease. We present a 52-year-old male who had atypical cutaneous manifestations of Adult-onset Still's disease. The rash manifested as persistent, pruritic, dark reddish, confluent, erythematous maculopapules and plaques on his chest, abdomen, upper back and proximal extremities. He suffered high, spiking fevers and had marked elevations of ferritin, C-reactive protein, and the erythrocyte sedimentation rate, which are characteristic of Adult-onset Still's disease. The fever and systemic symptoms improved after the administration of intravenous pulse methylprednisolone therapy. The skin lesions improved after prednisolone and methotrexate combination therapy. Therefore, to make the correct diagnosis, it is important to understand that patients with Adult-onset Still's disease may present with various types of skin lesions.
Keywords
Publication details
- DOI
- 10.5001/omj.2013.86
- Journal
- Oman Medical Journal
- Publisher
- Oman Medical Specialty Board
- Open access
- Gold open access
Cite this article
APA 7
Turkyilmaz, A. K., Devrimsel, G., Topaloglu, M. S., Erturk, A., Capkin, A. A., & Yildirim, M. (2013). Atypical Skin Rash in a Patient with Adult-Onset Still's Disease: A Case Report. Oman Medical Journal. https://doi.org/10.5001/omj.2013.86
MLA 9
Turkyilmaz, Aysegul Kucukali, et al. "Atypical Skin Rash in a Patient with Adult-Onset Still's Disease: A Case Report." Oman Medical Journal, 2013. https://doi.org/10.5001/omj.2013.86.
Chicago (author–date)
Turkyilmaz, Aysegul Kucukali, Gul Devrimsel, Mehmet Serhat Topaloglu, Ayse Erturk, Arzu Aydın Capkin, and Murat Yildirim. 2013. "Atypical Skin Rash in a Patient with Adult-Onset Still's Disease: A Case Report." Oman Medical Journal. https://doi.org/10.5001/omj.2013.86.
Harvard
Turkyilmaz, A. K., Devrimsel, G., Topaloglu, M. S., Erturk, A., Capkin, A. A. and Yildirim, M. (2013) 'Atypical Skin Rash in a Patient with Adult-Onset Still's Disease: A Case Report', Oman Medical Journal. doi:10.5001/omj.2013.86.
Vancouver
Turkyilmaz AK, Devrimsel G, Topaloglu MS, Erturk A, Capkin AA, Yildirim M. Atypical Skin Rash in a Patient with Adult-Onset Still's Disease: A Case Report. Oman Medical Journal. 2013. doi:10.5001/omj.2013.86
IEEE
A. K. Turkyilmaz, G. Devrimsel, M. S. Topaloglu, A. Erturk, A. A. Capkin, and M. Yildirim, "Atypical Skin Rash in a Patient with Adult-Onset Still's Disease: A Case Report," Oman Medical Journal, 2013, doi: 10.5001/omj.2013.86.