Acute Miopericarditis as the Presenting Feature of Adult-Onset Still's Disease

Adult Still's disease (ASD) was described by George Still in 1896. ASD is a rare inflammatory disorder, of unknown etiology, whose clinical manifestations are manifold. Diagnosis requires high clinical suspicion and exclusion of different etiologies. We report the case of a 20 year old male wit...

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Bibliographic Details
Published in:Reumatología clinica (Barcelona) 2012-01, Vol.8 (1), p.31-33
Main Authors: García-García, Gema, Fernández-Auzmendi, Verónica, Olgado-Ferrero, Fermín, Magro-Ledesma, Dolores, Sánchez Giralt, Sara
Format: Article
Language:English
Subjects:
Enfermedad de Still
Immunosuppressants
Inmunosupresores
Miopericarditis
Myopericarditis
Still's disease
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Summary:Adult Still's disease (ASD) was described by George Still in 1896. ASD is a rare inflammatory disorder, of unknown etiology, whose clinical manifestations are manifold. Diagnosis requires high clinical suspicion and exclusion of different etiologies. We report the case of a 20 year old male with fever, arthritis, dyspnea and chest pain. Laboratory findings showed increased levels of cardiac enzymes, and a pleuropericardic effusion was detected in imaging tests, both of them showing myopericarditis. Corticosteroid treatment was started with initial improvement, although the addition of methotrexate was necessary in the following months. La enfermedad del Still del adulto (ESA) fue descrita en niños por George Still en 1896. La ESA es una entidad inflamatoria, infrecuente, de etiología desconocida cuyas manifestaciones clínicas son múltiples. El diagnóstico requiere una alta sospecha clínica y la exclusión de diferentes etiologías. Presentamos el caso de un varón de 20 años que consultó por fiebre, artritis, disnea y dolor costal. Se objetivaron elevación de enzimas cardiacas, y en las pruebas de imagen, derrame pleuropericárdico compatibles con miopericarditis. Se inició tratamiento con corticoides con mejoría inicial, precisando en los meses posteriores la adición de metotrexato.
ISSN:2173-5743
2173-5743
DOI:10.1016/j.reumae.2011.03.002