Adult Onset Still’s Disease Revealed by a Cardiac Tamponade: A Case Report
Imane Essaket *
Department of Cardiology, Mohammed VI Hospital University, Marrakech, Morocco.
Assala Cherki
Department of Cardiology, Mohammed VI Hospital University, Marrakech, Morocco.
Mohammed El-Jamili
Department of Cardiology, Mohammed VI Hospital University, Marrakech, Morocco.
Mustapha El-Hattaoui
Department of Cardiology, Mohammed VI Hospital University, Marrakech, Morocco.
*Author to whom correspondence should be addressed.
Abstract
Adult-onset Still’s disease (AOSD) is a rare systemic inflammatory disease of unknown origin with various clinical manifestations. In this article, we describe a case of 57-year-old presenting with Still's disease complicated by cardiac tamponade.
This case highlights the importance of a prompt diagnosis of cardiac involvement in inflammatory diseases, as it can be fatal, and underlines the utility of echocardiographic evaluation not only in symptomatic patients, but also for the systematic detection of pericardial effusions. The case of hemodynamic compromise, it allows the provider to determine the timing, approach, and method of pericardial drainage due to cardiac tamponade being a very rare complication that requires an invasive approach.
Keywords: Diagnosis, treatment, cardiac tamponade, adult onset still disease, AOSD
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References
Still GF. On a form of chronic joint disease in children. Med Chir Trans. 1897;80:47-60.9.
Bywaters EG. Still’s disease in the adult. Ann Rheum Dis. 1971;30(2):121–33.
Bujak JS, Aptekar RG, Decker JL, Wolff SM. Juvenile rheumatoid arthritis presenting in the adult as fever of unknown origin. Medicine (Baltimore). 1973;52(5): 431–44.
Bilska A, Wilińska E, Szturmowicz M, Wawrzyńska L, Fijałkowska A, Oniszh K, et al. Recurrent exudative pericarditis in the course of adult-onset still’s disease—two case reports. Advances in Respiratory Medicine. 2011;21;79(3):215–21.
Yamaguchi M, Ohta A, Tsunematsu T, Kasukawa R, Mizushima Y, Kashiwagi H, et al. Preliminary criteria for classification of adult Still’s disease. J Rheumatol. 1992; 19(3):424–30.
Carrilho-Ferreira P, Silva D, de Jesus Silva M, André R, Varela MG, Diogo AN. Adult-Onset still’s disease and cardiac tamponade: A Rare Association. Tex Heart Inst J. 2015;42(3):277–80.
Bodard Q, Langlois V, Guilpain P, Le Quellec A, Vittecoq O, Noel D, et al. Cardiac involvement in adult-onset Still’s disease: Manifestations, treatments and outcomes in a retrospective study of 28 patients. Journal of Autoimmunity. 2021; 116:102541.
Ben Ghorbel I, Lamloum M, Miled M, Aoun N, Houman MH, Pouchot J. Tamponnade révélant une maladie de Still de l’adulte : A propos de deux observations. La Revue De Médecine Interne. 2006;27(7):546–9.
Fautrel B. Adult-onset Still disease. Best Practice & Research Clinical Rheumatology. 2008;22(5):773–92.
Parvez N, Carpenter JL. Cardiac tamponade in still disease: A Review of the Literature: Southern Medical Journal. 2009;102(8):832–7.
Ruscitti P, Cipriani P, Masedu F, Iacono D, Ciccia F, Liakouli V, et al. Adult-onset Still’s disease: Evaluation of prognostic tools and validation of the systemic score by analysis of 100 cases from three centers. BMC Med. 2016;14: 194.