Ankylosing spondylitis associated with Still's disease: should it be considered a pathophysiologic link or a simple association?

Ankylosing spondylitis is a chronic inflammatory rheumatism; it is part of the group of spondyloarthrites. General signs such as fever and weight loss are of little importance. Adult Still's disease is a rare systemic condition, a diagnosis of exclusion commonly characterized by high hectic fev...

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Bibliographic Details
Published in:The Pan African medical journal 2017, Vol.28, p.132-132
Main Authors: Aradoini, Nassira, Talbi, Sofia, Azzouzi, Hamida, Abourazzak, Fatima Zahra, Khibri, Hajar, Berrady, Rhizlane, Bono, Wafaa, Harzy, Taoufik
Format: Article
Language:fre
Subjects:
Adult
Fever - etiology
Humans
Male
Spondylitis, Ankylosing - etiology
Spondylitis, Ankylosing - physiopathology
Still's Disease, Adult-Onset - complications
Still's Disease, Adult-Onset - diagnosis
Still's Disease, Adult-Onset - physiopathology
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Summary:Ankylosing spondylitis is a chronic inflammatory rheumatism; it is part of the group of spondyloarthrites. General signs such as fever and weight loss are of little importance. Adult Still's disease is a rare systemic condition, a diagnosis of exclusion commonly characterized by high hectic fever, rash, arthritis and various systemic manifestations. Few cases of ankylosing spondylitis associated with adult Still's disease have been described in the literature. We here report the case of a 31-year old patient followed up for ankylosing spondylitis presenting with fever which had lasted for a long time and clinico-biological signs compatible with adult Still's disease. A possible pathophysiologic link between the two diseases may be suggested, even if their simultaneous occurrence has been rarely reported in the literature.
ISSN:1937-8688
DOI:10.11604/pamj.2017.28.132.5607