Query:
What is Still's disease?
Still's disease, also known as systemic juvenile idiopathic arthritis (SJIA), is an inflammatory disorder characterized by high fevers, rash, and joint pain. It is most commonly seen in children between the ages of 2 and 15, but can also be seen in older adults. The exact cause of Still's disease is unknown, but it is thought to be an autoimmune disorder. Symptoms of Still's disease vary from person to person, but they typically include fevers that come and go, often spiking to 104°F or higher; a salmon-colored, raised rash; and joint pain and swelling, often in the knees, ankles, and wrists. Other symptoms can include fatigue, loss of appetite, and enlarged lymph nodes.
Diagnosis of Still's disease is often a difficult process as many of its symptoms are shared by other conditions. Doctors will typically look at a patient's medical history and do a combination of blood tests, imaging tests, and physical exams in order to make a diagnosis. Blood tests are typically done to look for inflammatory markers such as C-reactive protein, and imaging tests such as X-rays and MRI scans are done to look for joint damage.
Treatment of Still's disease is typically done with medications such as non-steroidal anti-inflammatory drugs (NSAIDs) and corticosteroids to reduce inflammation and pain, as well as biologic drugs to reduce the activity of the immune system. Physical therapy and exercise can also help to reduce joint pain and stiffness. In severe cases, surgery may be needed to repair damaged joints.
Living with Still's disease can be challenging, but there are many resources available to help. Support groups, online forums, and patient organizations can provide a sense of community and helpful resources. It is also important to take care of yourself and practice good self-care, such as eating a healthy diet, getting enough rest, and exercising regularly. With proper management and treatment, people with Still's disease can lead long and fulfilling lives.