In brief a young girl presenting with a H/O sore throat, rash
appearing with spiking fever, abnormal LFTs (Colestatic Picture), Large
joint tenderness, raised inflammatory markers, Low C3 and Normal
Autoantibody screen.
Diagnosis to be considered
1. Majority of these fit in to the diagnosis of Stills disease - Ferritin
Levels can help
2. Abscess - I would do a USG/CT abdo, White cell scan
Rapid Response:
PUO - In Young Girl
In brief a young girl presenting with a H/O sore throat, rash
appearing with spiking fever, abnormal LFTs (Colestatic Picture), Large
joint tenderness, raised inflammatory markers, Low C3 and Normal
Autoantibody screen.
Diagnosis to be considered
1. Majority of these fit in to the diagnosis of Stills disease - Ferritin
Levels can help
2. Abscess - I would do a USG/CT abdo, White cell scan
Competing interests:
None declared
Competing interests: No competing interests