[Adult-onset Still's disease revealed by a pericardial tamponade: report of two cases].

Service de Médecine Interne, Hôpital La-Rabta, 1007 Tunis, Tunisie.
La Revue de Médecine Interne (Impact Factor: 0.9). 08/2006; 27(7):546-9. DOI: 10.1016/j.revmed.2006.03.027
Source: PubMed

ABSTRACT Adult onset Still's disease is a systemic inflammatory disorder of unknown etiology characterized by the association of a high spiking fever, an evanescent skin rash, arthritis, and hyperleukocytosis. Pericarditis is amongst the most common systemic manifestations of adult onset Still's disease.
We report on two patients with a pericardial tamponade revealing an adult onset Still's disease in a 52-year-old female and a 31-year-old male. Pericardial fluid was bloody in the two cases, and histopathology only disclosed non specific inflammatory changes. Both patients received corticosteroids and outcome was uneventful with a follow-up of 8 years and 12 months, respectively.
Pericardial tamponade is an uncommon clinical feature of adult-onset Still's disease and usually occurs at disease onset. It makes the diagnosis of adult-onset Still's disease difficult as the other disease manifestations are commonly neglected. Adult onset Still's disease should be added to the differential of acute pericarditis and tamponade.

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May 21, 2014