Anuria, Sudden Blindless, Confusion: A Case of Unusual 'Adult Still Disease'

Abstract

A young female patient presented with fever, arthralgia, and rash was diagnosed with adults still's disease. When treated with glucocorticoid steroid, the above patient progressed to anuria, sudden, and confusion. After a teamwork involving different departments, the patient was finally diagnosed with atypical hemolytic uremic syndrome (aHUS) and treated with good outcome. aHUS is a rare disease, while Eculizumab is an orphan drug. The diagnosis and treatment of the patient reveals the importance of multidisciplinary team on the diagnosis and treatment of rare and difficult diseases.

Keywords

• adult still's diasease
• thrombotic microangiopathies
• atypical hemolytic uremic syndrome
• eculizumab