The Flagellate Erythema in a Patient with Adult-onset Still’s disease: A Case Report

Abstract

Adult-onset Still’s disease is a rare systemic inflammatory disorder. Clinical manifestations and symptoms may vary among individuals, making it difficult to diagnose this disease from an early stage and cause delays in treatment. In most cases, patients may develop episodes of high fevers together with a pinkish-orange maculopapular rash on trunk and extremities, which usually disappears when the fever subsides. Other severe symptoms of adult-onset Still’s disease include pleuritis, myopericarditis, interstitial lung disease, and reactive hemophagocytic syndrome. This report shows an example of an affected patient with flagellate erythema. Although this skin sign is atypical symptom, it is considered relatively relevant to adult-onset Still’s disease. The patient was diagnosed and received a proper medical treatment in a timely manner and could be discharged from hospital eventually.