Adult-Onset Still’s Disease Misdiagnosed as Acute Fibrinous and Organizing Pneumonia: A Case Report and Literature Review
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Keywords

Adult-onset Still’s disease
Acute fibrinous and organizing pneumonia
Lung disease

DOI

10.26689/jcnr.v8i6.7046

Submitted : 2024-06-23
Accepted : 2024-07-08
Published : 2024-07-23

Abstract

Adult-onset Still’s disease (AOSD) is a rare condition that lies between autoinflammatory syndrome and autoimmune disease. The main clinical manifestations include fever, chills, rash, joint swelling and pain, peripheral blood leukocytosis, splenomegaly, etc. It is a systemic disease affecting between 1 and 34 people per million. The average age of onset is 35 years old, with a slightly higher prevalence rate in women. Since AOSD lacks early specific symptoms and signs, non-specialist doctors have limited understanding of the disease, and patients are prone to clinical misdiagnosis, mistreatment, and delayed disease progression. This paper reports a patient whose AOSD was misdiagnosed as acute fibrinous and organizing pneumonia.

References

Gao Q, Yuan Y, Ma N, et al., 2016, Analysis of Clinical Characteristics of Patients with Adult-Onset Still’s Disease Complicated with Hemophagocytic Syndrome: A Report of 3 Cases and Literature Review. J Jilin Univ: Med Edit, 42(6): 1197–1202.

Narvaez J, 2018, Adult-Onset Still’s Disease. Med Clin (Barc), 150(9): 348–353.

Cozzi A, Papagrigoraki A, Biasi D, et al., Cutaneous Manifestations of Adult-Onset Still’s Disease: A Case Report and Review of Literature. Clin Rheumatol, 35(5): 1377–1382.

Taira M, Matsumura T, Sumita Y, et al., 2022, A Rare Case of Acute Fibrinous and Organizing Pneumonia Associated with Systemic Lupus Erythematosus and Autoimmune-Associated Hemophagocytic Syndrome: The Involvement of CD163-Positive Macrophages. Intern Med, 61(4): 559–565.

Nanno S, Koh H, Okamura H, et al., 2021, Acute Fibrinous and Organizing Pneumonia Following Hemophagocytic Syndrome in Two Adult Patients with Hematological Malignancies. J Clin Exp Hematop, 61(2): 93–96.

Chinese Rheumatology Association, 2010, Guidelines for the Diagnosis and Treatment of Adult-Onset Still’s Disease. Chin J Rheumatol, 14(7): 487–489.

Xu F, Hou J, Zhang Y, et al., 2016, Adult Still’s Disease Complicated by Acute Severe Liver Injury and Phagocytosis: A Case Report of Blood Syndrome. Journal of Clinical Hepatobiliary Diseases, 32(8): 1590–1591.

Yamaguchi M, 1992, Preliminary Criteria for Classification of Adult Still’s Disease. J Rheumatol, 19(3): 424–430.

Zeng T, Zou YQ, Wu MF, et al., 2009, Clinical Features and Prognosis of Adult-Onset Still’s Disease: 61 Case from China. J Rheumatol, 36(5): 1026–1031.

Woo JH, Sung YK, Lee JS, et al., 2009, Association of Fc-Gamma Receptor Polymorphisms with Adult-Onset Still’s Disease in Korea. J Rheumatol, 36(2): 347–350.

Giacomelli R, Ruscitti P, Shoenfeld Y, 2018, A Comprehensive Review on Adult-Onset Still’s Disease. J Autoimmun, (93): 24–36.

Zhang S, Zhou X, Bao W, et al., 2018, Clinical Analysis of 108 Cases of Adult Still’s Disease. Medicine and Philosophy, 39(22): 47–50, 60.

Lian F, Wang Y, Yang X, et al., 2012, Clinical Features and Hyperferritinemia Diagnostic Cutoff Points for AOSD Based on ROC Curve: A Chinese ExPerience. Rheumatol Int, 32(1): 189–192.

Novak S, Anic F, Luke-Vrbaniec TS, 2012, Extremely High Serum Ferritin Levels as a Main Diagnostic Tool of Adult-Onset Still’s Disease. Rheumatol Int, 32(4): 1091–1094.

Moreau D, Timsit JF, Vesin A, et al., 2007, Platelet Count Decline an Early Prognostic Marker in Critically Ill Patients with Prolonged ICU Stays. Chest, 31(6): 1735–1741.

Damevska K, Franca K, Nikolovska S, et al., 2019, Adult-Onset Still’s Disease as a Cutaneous Marker of Systemic Disease. Clin Dermatol, 37(6): 668–674.