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Table 2 Yamaguchi’s and Fautrel’s criteria met by patient

From: Adult onset Still’s disease in the elderly: a case-based literature review

Yamaguchi’s criteria [4]

At least 5 criteria including 2 major criteria

Criteria met by our case

Fautrel’s criteria [5]

4 major or 3 major and 2 minor criteria

Criteria met by our case

Major:

 

Major:

 

• Fever > 39 °C, lasting 1 week or longer

• Arthralgia or arthritis, lasting 2 weeks or longer

• Typical rash

• Leukocytosis > 10,000/mm3 with > 80% polymorphonuclear cells

+

+

-a

+

Spiking fever ≥39 °C

Arthralgia

Transient erythema

Pharyngitis

Polymorphonuclear cells ≥80%

Glycosylated ferritin ≤20%

+

+

+a

-

+

Minor:

 

Minor:

 

• Sore throat

• Lymphadenopathy

• Hepatomegaly or splenomegaly

• Abnormal liver function tests

• Negative tests for antinuclear antibody and rheumatoid factor

-

+

-

+

−/+

Maculopapular rash

Leukocytosis ≥10,000/mm3

+

+

Exclusion:

• Infections

• Malignancies (mainly malignant lymphoma)

• Other rheumatic disease (mainly systemic vasculitides)

+

+

+

  
  1. aThe evanescent rash in our case presented on 2nd admission after and was pruritic, therefore not meeting the Yamaguchi’s criteria