Adult-onset Still’s Disease in a 65-Years-Old Woman Successfully Treated with Oral Deflazacort

Adult-onset Still's disease (AOSD) is a rare inflammatory condition of unknown etiology characterized by fever, rash, arthritis, and other systemic manifestations. Our clinical report describes a course of a 65-year-old Georgian woman who had a sore throat, spiking fever, a rash affecting the body and the extremities, arthritis, elevated WBCs, CRP and ESR, and hyperferritinaemia. The diagnosis was established based on the Yamaguchi criteria after exclusion of the mimicking disorders. The combined initial therapy with NSAID and Deflasacort 48 mg/d provided symptomatic improvement during the hospitalization period and eliminated all above-mentioned symptoms after discharge.