Aseptic meningitis in adult onset Still’s disease

@article{AkkaraVeetil2010AsepticMI,
  title={Aseptic meningitis in adult onset Still’s disease},
  author={Bharath Manu Akkara Veetil and Alan Howe Yee and Kenneth J. Warrington and Allen Jr. Aksamit and Thomas Mason},
  journal={Rheumatology International},
  year={2010},
  volume={32},
  pages={4031-4034}
}
Adult onset Still’s disease (AOSD) is a systemic inflammatory disease characterized by high-fevers, articular involvement, maculopapular rash, hepatosplenomegaly, lymphadenopathy, and a neutrophilic leukocytosis. Though systemic complications of AOSD or its treatment are well described in the literature, CNS involvement in AOSD is exceedingly rare and can have protean manifestations. We present a patient with AOSD who developed chronic meningitis and sensorineural hearing loss on treatment… 
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This case reveals that AOSD is an important consideration in the differential diagnosis of Aseptic Meningitis Syndrome, and Meningeal signs and abnormal cerebrospinal fluid, both detected in this patient, are very rare occurrences in Still's disease.
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