Mian Madeeha, Fiore Connie Tran, Wilder Elizabeth
Texas A&M College of MedicineBryanTexas.
Division of Dermatology, Department of Internal Medicine, Baylor University Medical CenterDallasTexas.
Proc (Bayl Univ Med Cent). 2019 May 21;32(3):422-424. doi: 10.1080/08998280.2019.1605775. eCollection 2019 Jul.
Adult-onset Still's disease (AOSD), the adult variant of systemic juvenile idiopathic arthritis, is a rare auto-inflammatory condition that presents with characteristic skin findings. There is no specific test available; diagnosis is usually based on the symptoms and evanescent rash found in patients. More recently, however, descriptions of atypical cutaneous and histological manifestations of AOSD have been published. We describe a case of atypical AOSD and discuss recent literature on this different cutaneous and histological presentation. Our results add to the growing discussion on atypical AOSD and suggest that this presentation may have been underreported and more common than previously thought.
成人斯蒂尔病（AOSD）是系统性幼年特发性关节炎的成人型，是一种罕见的自身炎症性疾病，具有特征性的皮肤表现。目前尚无特异性检查方法；诊断通常基于患者出现的症状和一过性皮疹。然而，最近已有关于AOSD非典型皮肤和组织学表现的描述发表。我们报告一例非典型AOSD病例，并讨论近期关于这种不同皮肤和组织学表现的文献。我们的结果为关于非典型AOSD的日益增多的讨论增添了内容，并表明这种表现可能未得到充分报道，且比以前认为的更为常见。
