Adult Still's Disease
Adult Still's Disease Diagnosis & Tests
The physical exam may show the fever, rash, and arthritis. Other signs include enlargement of the lymph nodes, liver, or spleen. Also, the presence of changes in the sound of the heart or lungs may indicate pericarditis or pleurisy.
Blood tests that can be helpful in diagnosing Adult Still's Disease include:
- Elevation in the ESR (sedimentation rate)
- Elevation in the White Blood Cell count
- Elevation in liver function tests
- Decrease in the Red Blood Cell count
- Very high elevation in the Ferritin level
- Negative rheumatoid factor and ANA test
Other tests may include:
-
joint X-rays
-
chest X-ray that may show pericarditis or pleural effusion
- abdominal X-ray, CT scan or ultrasound for liver and spleen enlargement
Adult Still's Disease can only be diagnosed after other diseases are excluded. It may require many medical tests before a final diagnosis is made.
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