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Clin Med Insights Case Rep . Diagnosis of Adult Onset Still's Disease in a Patient Who has recovered from Coronavirus-19

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  • Clin Med Insights Case Rep . Diagnosis of Adult Onset Still's Disease in a Patient Who has recovered from Coronavirus-19


    Clin Med Insights Case Rep


    . 2021 Feb 19;14:1179547621996306.
    doi: 10.1177/1179547621996306. eCollection 2021.
    Diagnosis of Adult Onset Still's Disease in a Patient Who has recovered from Coronavirus-19


    Abdullah Alshablan 1 , Reem Jabbad 1 , Sarah Tayeb 1 , Tariq Albeshri 1 , Suvarna Raju Yelamanchili 1 , Nada Rabie 1 , Fahdah Almutairi 2 , Mohammed Samannodi 1 3



    AffiliationsFree PMC article

    Abstract

    Introduction: Adult Still's disease (ASD) is an uncommon inflammatory disorder characterized by fevers, a salmon-colored rash, and arthritis. Cytokines storm syndrome related to Coronavirus-19 (COVID-19) usually occur in acute period of COVID-19 and can mimic clinical features of ASD.
    Case report: We present a case of a 27-year-old male who was hospitalized in July 2020 due to fever, sore throat, multiple joint pain, and body rash for 2 weeks. Patient recovered from COVID-19 8 weeks ago but his nasopharyngeal SARS CoV-2 PCR was still positive on current hospitalization. Post COVID-19 cytokines storm syndrome post COVID-19 was suspected but after further assessment and investigations, diagnosis of ASD was established and patient was treated with corticosteroids therapy and had favorable outcome.
    Conclusion: During COVID-19 pandemic, diagnosis of many other diseases either were delayed or missed. We encourage all clinicians to have a broader differential diagnosis to improve patient care and outcome.

    Keywords: COVID-19; Still?s; adult; cytokines.

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