[Still's disease in adults and polymyositis. An infrequent association].

Abstract

A case of coexistence of adult onset Still's disease and idiopathic inflammatory myopathy is reported in a patient with antecedent of Graves-Basedow disease. Although myalgias are common during the flares of adult onset Still's disease, a review of literature only disclosed two previous cases of polymyositis associated to adult onset Still's disease. A high index of suspicion is needed in order to diagnose such a rare association which has relevant prognostic and therapeutic implications. Treatment with methotrexate was started in order to control myopathy, resulting in improvement of both polymyositis and adult onset Still disease. A possible role of methotrexate in the management of adult onset Still's disease is suggested.

• Authors: C Barbadillo, E Cuende, R Mazzucchelli, J Mulero, J L Andreu-Sánchez
• Journal: Medicina clinica (Med Clin (Barc)) Vol. 99 Issue 10 Pg. 382-3 (Oct 03 1992) ISSN: 0025-7753 [Print] Spain
• Vernacular Title: Enfermedad de Still del adulto y polimiositis. Una asociación infrecuente.
• PMID: 1460882 (Publication Type: Case Reports, English Abstract, Journal Article, Review)

Topics

• Adult
• Female
• Humans
• Polymyositis (complications)
• Still's Disease, Adult-Onset (complications)