Adult-onset Still’s disease in an elderly patient – case report

Introduction: adult-onset Still's disease (aoSd) is a rare systemic inflammatory disorder characterized by a triad of symptoms: fever, transient maculopapular rash, arthralgia or arthritis.Symptoms of the disease usually appear before the age of sixteen, and if they do, then that is the case of systemic juvenile idiopathic arthritis.The appearance of clinical symptoms in adulthood usually occurs by the age of 46.rare cases of disease occurrence in patients over sixty years of age are described in the literature.Case report: We present the case of a 73-year-old patient with numerous comorbidities who was admitted to our inpatient ward due to a protracted febrile condition accompanied by rash and arthralgia.after excluding infection and malignancy, we have finally diagnosed the patient with aoSd.Conclusion: despite the fact that aoSd is typically diagnosed in young adulthood, the diagnosis of this condition is possible even in the elderly, after exclusion of other more common differential diagnoses.