Adult-onset Still's disease in a patient over 80 years old successfully treated with low-dose methotrexate therapy

• Published in: Age and Ageing Vol. 36; no. 1; pp. 104 - 106
• Main Authors: Kurasawa, Miwa, Kotani, Kazuhiko, Kurasawa, Gotaro, Shida, Kousuke, Yamada, Shigeki, Tago, Toshihiko
• Format: Report
• Language: English
• Published: Oxford University Press 01.01.2007
• Subjects: adult-onset Still's disease; elderly; hypercytokinaemia; Japanese; low-dose methotrexate; pulse methylprednisolone; super-old patients

We report on an 83-year-old Japanese woman with adult-onset Still's disease (AOSD), with marked hypercytokinemia (serum levels of ferritin (Fer) and interleukin (IL)-18 were markedly high). On seeing older patients with fever of unknown origin (FUO), particularly Asians, AOSD should be consider...