Cutaneous manifestations in a patient with adult-onset Still’s disease

Introduction
Adult-onset Still’s disease is a systemic inflammatory disease characterized by fever, arthritis, lymphadenopathy, splenomegaly, inflammation of internal organs, and skin lesions.

Objective
Presentation of a rare, systemic inflammatory disease associated with cutaneous manifestations.

Case report
A 52-year-old woman was admitted to the Department of Dermatology with erythematous skin lesions associated with with intermittent itch. For a year before hospital admission, the skin lesions recurrently appeared in the late afternoon and resolved completely at night.

Conclusions
The cutaneous lesions in adult-onset Still’s disease have a tendency tends to develop and disappear in episodes associated with fever. The typical cutaneous manifestations include erythematous or erythematopapular lesions, usually with a salmon-like tint. However, the disease may also be associated with an atypical cutaneous presentation, which should be taken into consideration to ensure early diagnosis and effective treatment to prevent joint damage.