Adult-onset Still's disease masquerading as acute coronary syndrome: a case report and review of the literature.

ABSTRACT:

Introduction

Adult-onset Still's disease is a rare systemic autoinflammatory disease. We present a case of a young man with a constellation of symptoms and myopericarditis as a complication of this disease.

Case

A 36-year-old Hispanic man with no significant past medical history developed a quotidian fever pattern following an upper respiratory tract infection. He initially presented with chest pain concerning for myocardial infarction and underwent cardiac catheterization, which revealed non-obstructive coronary artery disease. He was found to have myopericarditis, significant neutrophilic leukocytosis, and hyperferritinemia. He improved on high-dose corticosteroids but developed steroid-induced psychosis, and 4 months from symptom onset, he finally received tocilizumab, wh

SUBMITTER: Milne I 

PROVIDER: S-EPMC11465706 | biostudies-literature | 2024 Oct

REPOSITORIES: biostudies-literature