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Gastroenterol Clin Biol 1995 Dec;19(12):1059-61

[Still disease in adults revealed by a digestive manifestation].
[Article in French]

Dominguez S, Grange JD, Amiot X, Denis M, Guillevin L, Bodin F
Service d'Hepato-Gastroenterologie, Hopital Tenon, Paris.

Adult Still's disease is characterized by typical spiking fever,
oligopolyarthritis, neutrophilic leukocytosis and involvement of various
organs. We report a case which illustrated typical digestive features of
Still's disease as dysphagia, peritonitis and manifests the hitherto
unreported complication of gastric ulcerations. Treatment with
prednisone was started in order to control arthritis, resulting in
improvement of both gastric ulcerations (partially resistant to
omeprazole treatment) and arthralgia. After seven years of follow-up,
the patient remains clinically and biochemically stable with steroid and
methotrexate treatment.

PMID: 8729419, UI: 96306748


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