Adult-Onset Still’s Disease Presenting as an Atypical Cutaneous Eruption

Cory Kosche, Lida Zheng, Lauren Marie Guggina*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Adult-onset Still’s disease classically presents with high fevers, arthralgias, leukocytosis, and an evanescent eruption. There are, however, a known subset of patients who develop an atypical eruption with persistent erythematous to violaceous papules and plaques. Here, we present the case of a white female in her 40s who presented with 2 years of spiking fevers, arthralgias, and a fixed pruritic eruption with erythematous plaques with overlying scale and linear accentuation. She was initially treated with oral prednisone, anakinra, and methotrexate. Due to persistent symptoms, she was switched to adalimumab with significant relief of symptoms. Prompt recognition of adult-onset Still’s disease with this atypical eruption may help prevent delayed or missed diagnosis and allow for early, appropriate intervention.

Original languageEnglish (US)
Pages (from-to)455-458
Number of pages4
JournalSKIN: Journal of Cutaneous Medicine
Issue number6
StatePublished - Dec 2 2019


  • adult-onset Still's disease
  • AOSD
  • atypical
  • eruption
  • infliximab

ASJC Scopus subject areas

  • Dermatology


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