Clinical Rheumatology

, Volume 19, Issue 5, pp 389–391

Urticaria as a Presenting Manifestation of Adult-Onset Still’s Disease

Authors

  • F. Salaffi
    • Department of Rheumatology, University of Ancona
  • G. Filosa
    • Dermatology Unit, Hospital of Jesi, Ancona, Italy
  • L. Bugatti
    • Dermatology Unit, Hospital of Jesi, Ancona, Italy
  • M. D. Maestrini
    • Department of Rheumatology, University of Ancona
Case Report

DOI: 10.1007/s100670070034

Cite this article as:
Salaffi, F., Filosa, G., Bugatti, L. et al. Clin Rheumatol (2000) 19: 389. doi:10.1007/s100670070034

Abstract:

Adult-onset Still’s disease (AOSD) is a rare disorder of unknown aetiology, characterised by high spiking fever, an evanescent, erythematous, maculopapular rash, arthralgia or arthritis, lymphadenopathy, hepatosplenomegaly, sore throat and serositis. It is associated with marked leukocytosis, high erythrocyte sedimentation rate, increased level of serum ferritin and negative rheumatoid factor and antinuclear antibody tests. Here we report a patient in whom an urticaria-like rash was an uncommon presenting clinical feature of AOSD. To our knowledge, this association has only been reported once before.

Key words: Adult-onset Still’s disease – Urticaria
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© Clinical Rheumatology 2000