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Revista Colombiana de Reumatología
versão impressa ISSN 0121-8123
Resumo
IGLESIAS, Antonio et al. Stills Disease: up to date and historical perspective. Rev.Colomb.Reumatol. [online]. 2008, vol.15, n.3, pp.197-206. ISSN 0121-8123.
Still´s disease is a rare systemic disorder of unknown etiology, characterized by high spiking fever, evanescent salmon-colored rash, arthritis, which can be associated with odynophagia, hepatosplenomegaly and lymphadenophaties. It is less frequent the involvement of eyes, lungs, heart, renal, and central nervous system. The laboratory show unspecific finding such us marked leukocytosis, elevated transaminases, and acute phase reactants such as CRP, ESR and ferritin. Although it is considered as a diagnostic of exclusion and must be included in the differential diagnosis of several pathologies, there are more than six sets criteria that allow us to approach a more accurate diagnosis. This paper was based on a review of the information found in PubMed, MEDLINE, LILACS articles in English and Spanish since 1950 on the epidemiology, pathogenesis, clinical and paraclinical manifestations, diagnostic criteria, and treatment of still disease.