What are the diagnostic criteria for adult onset Still’s disease?

After excluding other diseases, must have 5 (at least 2 major.)
Major criteria: Temperature > 39⁰C for > 1 week; Leukocytosis > 10,000/mm3  with > 80% PMNs; Rash; Arthralgias > 2 weeks.
Minor criteria:  Sore throat; Enlarged lymph nodes; Splenomegaly

-Adult Onset Still’s Disease.  In:  Kelley’s Textbook of Rheumatology, 8th ed. (MDConsult)

Yamaguchi’s criteria is most commonly used; it demonstrated 90% sensitivity in one study-higher than other criteria sets.

Repost of Mar 28, 2011


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Clinical Informationist at EUH Branch Library
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