Tijdschrift voor Geneeskunde vol:65 issue:16 pages:754-757
Longstanding fever and aseptic meningitis.
This case presents a 25-year-old man with longstanding fever, malaise and transient arthritis.
During his childhood he suffered juvenile artritis. Clinical examination revealed multiple adenopathies, hepatosplenomegaly and crepitations over both lung bases. Laboratory analysis disclosed inflammatory parameters and a borderline liverfunction. Extended serologic testing remained negative.
During hospitalisation he suffered an episode of aseptic meningitis.
Given the history of juvenile arthritis and the clinical, laboratory and radiological findings the diagnosis of adult onset Sill's disease was suspected. Under treatment with corticosteroïds our patiënt did well.