Doctor insights on:
Chauffard Stills Disease
No simple cause: "still's" is a synonym in many places for juvenile rheumatoid arthritis which is at least three diseases, all of unknown etiology that represent disturbances in the immune system. Mimics include lyme disease ; parvo b19. You're unlikely to find the etiology for a particular case of true still's; rarely an elimination diet might reveal a simple food allergy but this is the exception. ...Read moreSee 1 more doctor answer
Peds Rheum: Pediatric rheumatologists treat still's disease. Tremendous improvement in quality of life has been achieved for many children with this condition with the use of some of the newer medications called biological response modifiers. Examples are actemra, (tocilizumab) kineret, enbrel, etc. ...Read more
Autoinflammatory dis: Systemic jia/jra is actually an autoinflammatory disease rather than an autoimmune disease and is more similar to periodic fever syndromes than RA or jra. There's a problem with the innate immune system's triggering and control of inflammation, not a problem with mistakenly recognizing one's own proteins as foreign (like a virus). As such, Anakinra and steroids are most effective long term meds. ...Read moreSee 1 more doctor answer
Still's Disease: Still's disease is the same as juvenile rheumatoid arthritis. Since we are getting away by allowing physicians who describe a new syndrome assign their name to it, we do not see the term still's disease. Still's disease is the systemic onset of jra. At tmes it is associated with hepatitis and consumtive coagulopathy. I am one of the co-authors of this paper, publshed in pediatrics, 103, p 872. ...Read more
I was just diagnosed with stills disease, what is the treatment for this? What does this mean on a young person like me?
Systemic JRA: This is another name for systemic JRA. There are many immunosuppressive treatment options and your rheumatologist will figure out the best option for you. This is a chronic condition so try to take it a day at a time, follow-up with rheumatologist and make sure you have a good support system. ...Read moreSee 1 more doctor answer
Could Adult onset stills disease present with monthly low grade fevers (99-101) lasting a week, instead of the classic daily high grade fevers?
Very different: Reactive arthritis (previously called reiter's disease) is a self-limited arthritis that develops as an autoimmune response to an infection (some diarrheal infections, some sexually transmitted infections, some respiratory infections).Very painful swollen joints, sometimes with eye inflammation (uveitis), and urethral inflammation.Still's disease is systemic jia when in kids and is a chronic disease. ...Read moreSee 1 more doctor answer