RESEARCH ARTICLE
Nobel Med 2006; 2(2): 22-25

CASES OF ADULT STILL’S DISEASE

Mahmut Demirci, Emrullah Solmazgül, Burak Şahan, Mustafa Kaplan, Selim Nalbant
ABSTRACT
Introduction:
Still's disease is still an unexplained disorder that is characterized by high spiking fevers, transient salmon-colored rash and/or arthritis.

Materials and Metods:
We examined 12 cases retrospectively diagnosed as Still’s Disease during the last 5 years.

Findings:
Mean age of the patients was 20,9 ± 4,75 years at the time of diagnosis. Fever, arthritis and arthralgia were present in all patients. In 58.3 % of patients rash, splenomegaly and lymphadenopathy; in 41.6 % of patients hepatomegaly was detected. Erythrocyte sedimentation rate, serum ferritin level and white blood cell counts were high in all patients. Chronic disease anemia, negative antinuclear antibodies (ANA) and rheumatoid factor (RF) results were also found in all patients. Elevated liver enzymes thrombocytosis, high level of serum fibrinogen and CRP were found to be 33.3 %, 75 %, 58.3 % and 83.3 % respectively. Eleven of the patients are still under our control but one died due to acute hepatic failure. Remission was present in 9 patients. Two of them have had occasional flare of the arthritis, arthralgia and fever. Normochromic normocytic anemia and the infections were the most frequent complications of the disease. One case was treated with erythropoietin.

Discussion and Conclusion:
Still’s disease is a disease that some cases can not be diagnosed due to some diagnostic difficulties. There are no standardized treatments and management protocol for the disease. Therefore, large case series are still needed to standardize diagnosis and treatment of this mysterious disease. Our results may help to build these kinds of standardizations even with its small numbers.

LIVER AND SYSTEMIC DISEASES

05-09

Sebati Özdemir

REVIEW Nobel Med 2013; 9(2): 5-9

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10-14

Meltem Gürsu, Rümeyza Kazancıoğlu, Savaş Öztürk

REVIEW Nobel Med 2013; 9(2): 10-14

IMPORTANCE OF HOLOTRANSCOBALAMIN (HOLOTC) MEASUREMENTS IN EARLY DIAGNOSIS OF COBALAMIN DEFICIENCY, ESPECIALLY IN PATIENTS WITH BORDERLINE VITAMIN B12 CONCENTRATIONS

15-20

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RESEARCH ARTICLE Nobel Med 2013; 9(2): 15-20

EVALUATION OF PHYSICAL GROWTH IN PATIENTS WITH FAMILIAL MEDITERRANEAN FEVER

21-25

Celalettin Koşan, Oğuzhan Sepetçigil, Atilla Çayır, Avni Kaya, Behzat Özkan

RESEARCH ARTICLE Nobel Med 2013; 9(2): 21-25

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26-31

Gülsüm Kavalcı, Cavidan Arar, Alkın Çolak, Nesrin Turan, Cemil Kavalcı

RESEARCH ARTICLE Nobel Med 2013; 9(2): 26-31

THE EVALUATION OF PRENATAL AND ENVIROMENTAL RISK FACTORS IN CHILDREN WITH ASTHMA, ALLERGIC RHINITIS AND BRONCHIAL ASTHMA ABSTRACT

32-37

Mehmet İbrahim Turan, Müferet Ergüven, Mehmet Özdemir

RESEARCH ARTICLE Nobel Med 2013; 9(2): 32-37

REOPERATIONS AND MORBIDITY IN THYROID SURGERY

38-42

Serkan Teksöz, Murat Özcan, Aytül Sargan, Yusuf Bukey, Recep Özgültekin, Ateş Özyeğin

RESEARCH ARTICLE Nobel Med 2013; 9(2): 38-42

EFFECTS OF RAMADAN FASTING ON BLOOD PRESSURE CONTROL, LIPID PROFILE, BRAIN NATRIURETIC PEPTIDE, RENAL FUNCTIONS AND ELECTROLYTE LEVELS IN HYPERTENSIVE PATIENTS TAKING COMBINATION THERAPY

43-46

İbrahim Faruk Aktürk, İsmail Bıyık, Cüneyt Koşaş, Ahmet Arif Yalçın, Mehmet Ertürk, Fatih Uzun

RESEARCH ARTICLE Nobel Med 2013; 9(2): 43-46

MANAGEMENT OF A LARGE OUTBREAK CAUSED BY NOROVIRUS AND CAMPYLOBACTER JEJUNI OCCURRED IN A RURAL AREA IN TURKEY

47-51

İbak Gönen

RESEARCH ARTICLE Nobel Med 2013; 9(2): 47-51

FREQUENT CD99 AND FLI-1 EXPRESSIONS IN DIFFUSE LARGE B-CELL LYMPHOMA AND THEIR ASSOCIATION WITH PROLIFERATIVE AND APOPTOTIC RATES

52-56

Ufuk Berber, İsmail Yılmaz, Tolga Tuncel, Zafer Küçükodacı Aptullah Haholu

RESEARCH ARTICLE Nobel Med 2013; 9(2): 52-56
  • Pubmed Style
    Mahmut Demirci, Emrullah Solmazgül, Burak Şahan, Mustafa Kaplan, Selim Nalbant. [ERİŞKİN STİLL HASTALIĞI OLGULARIMIZ]. Nobel Med 2006; 2(2): 22-25, Turkish.
  • Web Style
    Mahmut Demirci, Emrullah Solmazgül, Burak Şahan, Mustafa Kaplan, Selim Nalbant. [ERİŞKİN STİLL HASTALIĞI OLGULARIMIZ]. www.nobelmedicus.com/en/Article.aspx?m=1716 [Access: Mayıs 24, 2021], Turkish.
  • AMA (American Medical Association) Style
    Mahmut Demirci, Emrullah Solmazgül, Burak Şahan, Mustafa Kaplan, Selim Nalbant. [ERİŞKİN STİLL HASTALIĞI OLGULARIMIZ]. Nobel Med 2006; 2(2): 22-25, Turkish.
  • Vancouver/ICMJE Style
    Mahmut Demirci, Emrullah Solmazgül, Burak Şahan, Mustafa Kaplan, Selim Nalbant. [ERİŞKİN STİLL HASTALIĞI OLGULARIMIZ]. Nobel Med (2006); 2(2): 22-25, [cited Mayıs 24, 2021], Turkish.
  • Harvard Style
    Mahmut Demirci, Emrullah Solmazgül, Burak Şahan, Mustafa Kaplan, Selim Nalbant. (2006) [ERİŞKİN STİLL HASTALIĞI OLGULARIMIZ]. Nobel Med, 2(2): 22-25, Turkish.