SEVERE HEPATIC MANIFESTATIONS OF ADULT ST ILLS-DISEASE

Two cases of adult Still's disease with severe hepatic manifestations are reported. One was a 22-year-old man who developed abdominal pain a nd hepatic failure during the first bout of adult Still's disease. The other was a 23-year-old man who had severe cytolysis and jaundice dur ing a recurrence of juvenile-onset Still's disease. Twelve similar cas es have been reported in the literature between 1971 and 1975, with a fatal outcome in four cases. Hepatic manifestations during adult Still 's disease can be spontaneous or related to a drug, a liver infection, or a hemophagocytic syndrome.