Adult Onset Still Disease | Medical Algorithm

Are you evaluating a patient for adult onset Still's disease?

Yes

Duration of patient observation

months

Age at onset

years

Does the patient have?

• daily fevers to > 39°C?

Yes

• arthritis?

Yes

• prodromal sore throat?

Yes

• reticuloendothelial system involvement?

Yes

• serositis?

Yes

• cervical ankylosis?

Yes

• tarsal ankylosis?

Yes

• carpal ankylosis?

Yes

• a typical evanescent rash?

Yes

White blood cell count

ESR

mm in first hour

Are the liver function tests abnormal?

Yes

Is the rheumatoid factor (RF) positive?

Yes

Is the test for antinuclear antibodies (ANA) positive?

Yes

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10

Criteria for Adult Onset Still's Disease

Purpose: To evaluate a patient for adult onset Still's disease using the criteria of Cush et al.