Fuo Dilemma - Still Considering Still’s Disease?

A Case of Adult Onset Stills Disease

Adult-onset Still's disease (AOSD) is characterized by fever, rash, and joint pain and may lead to chronic arthritis. The cause of AOSD is unknown, and it is rare. We encountered a patient with adult-onset Still's disease following a sore throat and fever. The patient was a 40-year-old woman who consulted our hospital because of a sore throat, fever and arthritis. She was admitted and treated w...

Fibromyalgia syndrome: still a medical dilemma.

Ophthalmoplegic migraine: still a diagnostic dilemma?

The term ophthalmoplegic migraine (OM) was first coined by Charcot in 1890. This condition was included as a migraine variant in the first Headache Classification of the International Headache Society in 1988. Based on postcontrast enhancement seen on MRI in some patients who were diagnosed with OM, there was a suggestion that this could be an inflammatory/demyelinating disorder; therefore, it ...

Differentiating amoebic ulcero-haemorrhagic recto-colitis from idiopathic inflammatory bowel disease: still a diagnostic dilemma.

The colon responds monomorphically to a variety of insults thus making it difficult to differentiate invasive amoebic colitis and inflammatory bowel disease (IBD). The authors present a case with chronic dysentery, haematochezia, anaemia and hypoproteinaemia. The endoscopic findings were suggestive of IBD. The stool examination was negative for trophozoites or cysts of parasites. The recto-colo...

Late-onset postpartum eclampsia: still a diagnostic dilemma?

Eclampsia is still a major cause of perinatal morbidity and mortality in developing countries but postpartum eclampsia has rarely been described. We present a case in which a 22-year-old Brazilian woman without a typical history of pre-eclampsia presented with eclampsia after the fourth postpartum day. The clinical diagnosis was corroborated by angiography and magnetic resonance imaging of the ...