Adult's Onset Still Disease In Zanzibar: An Unusual Presentation
Main Author: Noorein Abdulghafoor Omar
Zanzibar, Tanzania
Mnazi Mmoja Hospital
Purpose Statement:
Osteoporosis (OP) is one of the most common comorbidities associated with rheumatoid arthritis (RA). We aim to study the impact of OP on RA management and disease activity in our cohort of patients.
Material(s) and Method(s):
This is a Clinical Case.
Results:
This is a Clinical Case
Conclusion:
AOSD was first described by George Still in 1896, and subsequently in 1971 by Bywaters (3). In earlier descriptions, serositis (pericarditis and/or pleuritis) was proposed as a main symptom of AOSD (2). In tropical regions, serositis is often considered a consequence of infection which may delay the correct diagnosis of AOSD. In our case where fever was not a predominant symptom and the rash may not have been visible because of dark skin, the diagnosis was further delayed. Physicians should therefore consider atypical presentations of AOSD that occur in up to 20% of patients, with serositis and other systemic features in the absence of fever. A raised serum ferritin remains a useful diagnostic indicator.
