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Elevated Troponin Serum Levels in Adult Onset Still’s Disease
Joint Authors
Manzini, Carlo Umberto
Sebastiani, Marco
Brugioni, Lucio
Tognetti, Maurizio
Giuggioli, Dilia
Spinella, Amelia
Colaci, Michele
Ferri, Clodoveo
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-02-12
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Adult onset Still’s disease (AOSD) is a rare inflammatory systemic disease that occasionally may affect myocardium.
Diagnosis is based on typical AOSD symptoms after the exclusion of well-known infectious, neoplastic, or autoimmune/autoinflammatory disorders.
In the case of abrupt, recent onset AOSD, it could be particularly difficult to make the differential diagnosis and in particular to early detect the possible heart involvement.
This latter event is suggested by the clinical history of the four patients described here, incidentally observed at our emergency room.
All cases were referred because of acute illness (high fever, malaise, polyarthralgias, skin rash, and sore throat), successively classified as AOSD, and they presented abnormally high levels of serum troponin without overt symptoms of cardiac involvement.
The timely treatment with steroids (3 cases) or ibuprofen (1 case) leads to the remission of clinicoserological manifestations within few weeks.
These observations suggest that early myocardial injury might be underestimated or entirely overlooked in patients with AOSD; routine cardiac assessment including troponin evaluation should be mandatory in all patients with suspected AOSD.
American Psychological Association (APA)
Manzini, Carlo Umberto& Brugioni, Lucio& Colaci, Michele& Tognetti, Maurizio& Spinella, Amelia& Sebastiani, Marco…[et al.]. 2015. Elevated Troponin Serum Levels in Adult Onset Still’s Disease. Case Reports in Rheumatology،Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1059981
Modern Language Association (MLA)
Manzini, Carlo Umberto…[et al.]. Elevated Troponin Serum Levels in Adult Onset Still’s Disease. Case Reports in Rheumatology No. 2015 (2015), pp.1-4.
https://search.emarefa.net/detail/BIM-1059981
American Medical Association (AMA)
Manzini, Carlo Umberto& Brugioni, Lucio& Colaci, Michele& Tognetti, Maurizio& Spinella, Amelia& Sebastiani, Marco…[et al.]. Elevated Troponin Serum Levels in Adult Onset Still’s Disease. Case Reports in Rheumatology. 2015. Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1059981
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1059981