Article Text

Download PDFPDF
CASE REPORT
Fever with persistent flagellate erythema in a primigravida: a rare presentation of adult-onset Still’s disease
  1. Riti Bhatia1,
  2. Nidhi Kaeley2,
  3. Ravi Kant3 and
  4. Ankith Basi3
  1. 1 Dermatology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
  2. 2 Emergency Medicine, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
  3. 3 Medicine, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
  1. Correspondence to Dr Nidhi Kaeley, drnidhi_kaeley{at}yahoo.com

Abstract

We describe a case of a 25-year-old primigravida, who presented to the emergency department with fever, arthralgia and erythematous maculopapular eruption. There was confluent violaceous macular erythema on the arms, v-area of the neck and upper back with periorbital oedema, mimicking dermatomyositis. There was flagellate erythema on the back. Skin biopsy and systemic investigations helped to rule out dermatomyositis. A final diagnosis of adult-onset Still’s disease with atypical cutaneous manifestations was made. This atypical variant is associated with a worse prognosis. Early recognition of this clinical variant can be life-saving for the patient.

  • musculoskeletal syndromes
  • vasculitis
View Full Text

Statistics from Altmetric.com

Footnotes

  • Contributors NK: conception and design, acquisition of data or analysis and interpretation of data and drafting the article or revising it critically for important intellectual content. RB: conception and design, acquisition of data or analysis and interpretation of data. Drafting the article or revising it critically for important intellectual content. Final approval of the version published. RK: conception and design, acquisition of data or analysis and interpretation of data. AB: conception and design, acquisition of data or analysis and interpretation of data.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors. There are no funding sources to declare.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.