Macrophage activation syndrome in relation to Still's disease. A potentially deadly combination

Authors

  • Marc Colomé-Ayats Servicio de Medicina Interna, Hospital de la Santa Creu i Sant Pau, Barcelona, España https://orcid.org/0009-0004-8119-2880
  • Paula Camila Álvarez-Schlegel Servicio de Medicina Interna, Hospital de la Santa Creu i Sant Pau, Barcelona, España
  • Carlota Mir-Castro Servicio de Medicina Interna, Hospital de la Santa Creu i Sant Pau, Barcelona, España https://orcid.org/0009-0006-9027-2254
  • Aleix Bonet-Benavente Servicio de Medicina Interna, Hospital de la Santa Creu i Sant Pau, Barcelona, España
  • Javier Ramos-L´ázaro Servicio de Medicina Interna, Hospital de la Santa Creu i Sant Pau, Barcelona, España https://orcid.org/0009-0009-1997-0430

DOI:

https://doi.org/10.32818/reccmi.a10n1a2

Keywords:

Still's disease, macrophage activation syndrome, hyperferritinemia

Abstract

Still's disease is a rare and potentially serious systemic inflammatory condition associated with macrophage activation syndrome. Diagnosis is by exclusion, requiring a high clinical-analytical suspicion and a negative screening for other probable causes (mainly infectious, malignant or autoimmune). In this context, it is especially difficult to obtain an accurate diagnosis in order to initiate optimal and early treatment. We describe a case of adult-onset Still's disease, with a probable incipient macrophage activation syndrome.

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References

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Published

2025-04-28

How to Cite

1.
Colomé-Ayats M, Álvarez-Schlegel PC, Mir-Castro C, Bonet-Benavente A, Ramos-L´ázaro J. Macrophage activation syndrome in relation to Still’s disease. A potentially deadly combination. Rev Esp Casos Clin Med Intern [Internet]. 2025 Apr. 28 [cited 2025 Apr. 30];10(1):3-5. Available from: https://www.reccmi.com/RECCMI/article/view/1092