Adult Still’s disease, also known as adult-onset Still’s disease, as the name implies, affects adults and is the most severe type of juvenile idiopathic arthritis that affects children. Adult Still’s disease is the adult and severe variant of Still’s disease, which is systemic juvenile idiopathic arthritis. It is a type of systemic onset juvenile rheumatoid arthritis that affects people between the ages of 15 and 45.
Adult-onset Still’s Disease (AOSD) is a chronic inflammatory disease that causes high fever, joint pain, and a nonpruritic rash. Still’s disease was first recognized in 1896 by George F. Still as a type of chronic joint disease in children, similar to rheumatoid arthritis in adults. Later that year, in 1971, Bywaters reported an illness that began in adulthood and resembled Still’s disease or seronegative chronic polyarthritis in children.
It has a prevalence of 0.16/100,000 instances, with a bimodal age distribution of 15-25 years and 36-45 years. It is an exclusionary condition. We will look at a case of a 28-year-old woman who has been diagnosed with AOSD and is presently receiving treatment. We present a 28-year-old woman with fever, arthritis of numerous large joints, lymphadenopathy, and rash, as well as evidence of past infection with Ebstein-Barr virus and Parvovirus B19.
The history, examination results, and investigations revealed several characteristics consistent with adult-onset Still’s disease, including a high ferritin level. After ruling out other possible diagnoses and applying the Yamaguchi criteria, she was identified with adult-onset Still’s disease. Yamaguchi’s main and minor diagnostic criteria were all met. Her disease responded well to steroids; she went into remission and is now on maintenance treatment.
What are the causes
The illness develops as a result of the body’s immune system mistaking its own tissues for foreign bodies and fighting them. However, the precise cause of Still’s disease is unknown. Specialists think a bacterial or viral illness is the most likely cause. Adult Still’s disease is caused by a combination of environmental variables, genetic factors, and abnormal immune responses to infections.
Furthermore, cytokines, which are specialized proteins that mediate inflammatory reactions, are thought to play a part in the development of adult-onset Still’s disease. Interleukin-1 (IL-1), interleukin-6 (IL-6), interleukin-18 (IL-18), and tumor necrosis factor-alpha are examples of cytokines. (TNF-alpha).
What are the major symptoms?
Adult Still’s disease is characterized by a combination of the following indications and symptoms:
- Throat ache. One of the first signs is this. Your neck lymph glands may be swollen and tender.
- Muscle ache. Muscular pain typically subsides with fever, but it can be severe enough to interfere with daily activities.
- For a week or longer, you may have a daily temperature of at least 102 F (38.9 C). Typically, the fever rises in the late afternoon or early evening. You may experience two fever spikes per day, with your temperature reverting to normal between.
- Joints that are achy and distended. Your joints, particularly your knees and wrists, could be rigid, painful, and inflamed. Ankles, elbows, wrists, and shoulders may also be affected. Joint pain typically lasts at least two weeks.
- With the temperature, a salmon-pink rash may appear and disappear. Typically, the rash shows on your trunk, arms, or legs.
How long does Adult Still’s Disease last?
Still’s disease is a serious illness that can worsen over time if left untreated. There is no cure for this illness, and medications can only keep it under control. Without treatment, it can progress to chronic arthritis, worsening the patient’s condition. However, Adult-onset Still’s disease may necessitate the use of immunosuppressive medications to control the disease and safeguard major organs.
A person can feel healthy and lead a normal life by taking medications and managing the illness. Steroid therapy can be used to manage Still’s disease, but it can cause weight gain and mood swings.
Homeopathic Treatment for Adult Still’s Disease
Homeopathy looks at everyone as an individual. This means that homeopathic treatment is concerned with both the patient as a person and his pathological state. Homeopathic medicines are selected following a comprehensive individualizing examination and case analysis, which includes the patient’s medical history, physical and mental structure, and so on.
The medicines listed below have therapeutic connections, but they are not a full and definitive guide to treating this condition. Because general signs and inherent indications are also taken into account in homeopathy when selecting the treatment, the symptoms mentioned against each medicine may or may not be directly linked to this illness. None of these medications should be consumed without consulting a doctor.
● List of Homeopathic Medicines:
- Actea racemosa.
- Ledum pal.
- Rhus tox.