Miller Fisher syndrome in adult onset Still's disease: Case report and review of the literature of other neurological manifestations

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21 Citations (Scopus)

Abstract

Adult-onset Still's disease (AOSD) is a multi-system inflammatory disorder characterized by high spiking fevers, evanescent salmon-coloured rash, arthralgias or arthritis, hepatosplenomegaly, lymphadenopathy and sore throat. There is no specific test or combination of tests that can establish the diagnosis of AOSD and patients may present with other systemic involvement including neurological manifestations in 7-12% of cases. We present a complex case of a patient with AOSD who developed the Miller-Fisher variant of Guillain-Barré syndrome. This immunological disorder of the nervous system has not been described in association with AOSD before. We also review the literature on other neurological manifestations in AOSD. AOSD mimics different disease processes and its multi-system manifestations may complicate the picture further.

Original languageEnglish (US)
Pages (from-to)216-222
Number of pages7
JournalRheumatology
Volume41
Issue number2
StatePublished - 2002

Fingerprint

Adult-Onset Still's Disease
Miller Fisher Syndrome
Neurologic Manifestations
Pharyngitis
Salmon
Arthralgia
Exanthema
Nervous System Diseases
Arthritis
Fever

Keywords

  • Adult Still's disease
  • Gangliosides
  • Guillain-Barré syndrome
  • Miller Fisher syndrome
  • Neurological manifestations
  • Still's disease

ASJC Scopus subject areas

  • Neuroscience(all)
  • Rheumatology

Cite this

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abstract = "Adult-onset Still's disease (AOSD) is a multi-system inflammatory disorder characterized by high spiking fevers, evanescent salmon-coloured rash, arthralgias or arthritis, hepatosplenomegaly, lymphadenopathy and sore throat. There is no specific test or combination of tests that can establish the diagnosis of AOSD and patients may present with other systemic involvement including neurological manifestations in 7-12{\%} of cases. We present a complex case of a patient with AOSD who developed the Miller-Fisher variant of Guillain-Barr{\'e} syndrome. This immunological disorder of the nervous system has not been described in association with AOSD before. We also review the literature on other neurological manifestations in AOSD. AOSD mimics different disease processes and its multi-system manifestations may complicate the picture further.",
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