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Indian Journal of Clinical Anaesthesia

Still’s disease and anaesthetic concerns: A case report

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Case Report

Author Details : Gaurav Agarwal, Lalit Gupta*

Volume : 7, Issue : 1, Year : 2020

Article Page : 195-197

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Adult-onset Still ’s disease (AOSD), is a chronic systemic inflammatory 1 disorder rarely encountered in
clinical practice, described by Sir George Frederick Still in 1897. AOSD is of unknown aetiology with
the incidence estimated to be 0.16 per 100,000 persons with articular and extra-articular or systemic
manifestations. AOSD has a more acute course than compared to rheumatoid arthritis in adults, often
affecting many parts of the body before settling in the various joints. Its diagnosis is made by exclusion.
Securing airway mainly tracheal intubation may be difficult due to involvement of cervical spine,
temporomandibular joint and laryngeal involvement (crico-arytenoid arthritis). In addition, intermittent
disease flare-ups with laryngeal involvement may cause delayed extubation. This case highlights the
anaesthetic concerns involved with the Still’s disease.

Keywords: Still disease, Adultonset Still’s disease (AOSD), Chronic systemic inflammatory disorder

Doi : 10.18231/j.ijca.2020.035

How to cite : Agarwal G, Gupta L, Still’s disease and anaesthetic concerns: A case report. Indian J Clin Anaesth 2020;7(1):195-197

Copyright © 2020 by author(s) and Indian J Clin Anaesth. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) (