ADULT STILLS-DISEASE WITH DIGESTIVE MANIF ESTATIONS

Adult Still's disease is characterized by typical spiking fever, oligo polyarthritis, neutrophilic leukocytosis and involvement of various or gans. We report a case which illustrated typical digestive features of Still's disease as dysphagia, peritonitis and manifests the hitherto unreported complication of gastric ulcerations. Treatment with prednis one was started in order to control arthritis, resulting in improvemen t of both gastric ulcerations (partially resistant to omeprazole treat ment) and arthralgia. After seven years of follow-up, the patient rema ins clinically and biochemically stable with steroid and methotrexate treatment.