{"id":2502,"date":"2009-03-08T12:55:28","date_gmt":"2009-03-08T12:55:28","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/reusd\/"},"modified":"2025-05-14T19:10:20","modified_gmt":"2025-05-14T19:10:20","slug":"reusd","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/reusd\/","title":{"rendered":"Criteria for Diagnosis of Still&#8217;s Disease"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p><strong>Yamaguchi criteria for classification of adult Still&#8217;s disease<\/strong><\/p>\n<p>Presence of 5 or more criteria, of which at least 2 are Major (96% sensitivity; 92% specificity)<\/p>\n<p>Yamaguchi criteria for classification of adult Still&#8217;s disease<br \/>\nPresence of 5 or more criteria, of which at least 2 are Major (96% sensitivity; 92% specificity)<\/p>\n<p>Major Criteria<\/p>\n<ul>\n<li>Temperature of &gt;39\u00b0C for &gt;1 wk<\/li>\n<li>Leukocytosis &gt;10,000\/mm3 with &gt;80% PMNs<\/li>\n<li>Typical rash<\/li>\n<li>Arthralgias &gt;2 wk<\/li>\n<\/ul>\n<p><!--more--><\/p>\n<p>Minor Criteria<\/p>\n<ul>\n<li>Sore throat<\/li>\n<li>Lymph node enlargement<\/li>\n<li>Splenomegaly<\/li>\n<li>Liver dysfunction (high AST\/ALT)<\/li>\n<li>Negative ANA, RF<\/li>\n<\/ul>\n<p><strong>Cush criteria for classification of adult Still&#8217;s disease<\/strong><\/p>\n<p>Requires all of the following:<\/p>\n<ul>\n<li>Fever &gt; 39 degrees<\/li>\n<li>Arthralgia or arthritis<\/li>\n<li>Rheumatoid factor &lt; 1:80<\/li>\n<li>ANA &lt; 1:100<\/li>\n<\/ul>\n<p>In addition to any two of the following:<\/p>\n<ul>\n<li>WBC count &gt; 15,000<\/li>\n<li>Stills rash<\/li>\n<li>Pleuritis or Pericarditis<\/li>\n<li>Hepatomegaly, Splenomegaly, or Lymphadenopathy<\/li>\n<\/ul>\n<p>Abbreviations: ALT, alanine transaminase; ANA, antinuclear antibody; AST, aspartate transminase; PMN, polymorphonuclear leukocyte; RF, rheumatoid factor; WBC, white blood cells.<\/p>\n<p><strong>Fautrel classification criteria for adult-onset Still&#8217;s disease<\/strong><\/p>\n<p>Four or more major criteria are required, or 3 major and 2 minor criteria<\/p>\n<p><strong>Major criteria<\/strong><\/p>\n<ul>\n<li>Spiking fever \u226539 \u00b0C<\/li>\n<li>Arthralgia<\/li>\n<li>Transient erythema<\/li>\n<li>Pharyngitis<\/li>\n<li>Polymorphonuclear cells \u226580%<\/li>\n<li>Glycosylated ferritin \u226420%<\/li>\n<\/ul>\n<p><strong>Minor criteria<\/strong><\/p>\n<ul>\n<li>Maculopapular rash<\/li>\n<li>Leukocytosis \u226510,000\/mm3<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>References:<\/strong><\/p>\n<ol>\n<li>Yamaguchi M, Ohta A, Tsunematsu T, Kasukawa R, Mizushima Y, Kashiwagi H, Kashiwazaki S, Tanimoto K, Matsumoto Y, Ota T, et al. Preliminary criteria for classification of adult Still&#8217;s disease. J Rheumatol. 1992 Mar;19(3):424-30. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/1578458\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<li>Cush JJ, Medsger TA Jr, Christy WC, Herbert DC, Cooperstein LA. Adult-onset Still&#8217;s disease. Clinical course and outcome. Arthritis Rheum. 1987 Feb;30(2):186-94. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/3827959\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<li>Lebrun D, Mestrallet S, Dehoux M, Golmard JL, Granger B, Georgin-Lavialle S, Arnaud L, Grateau G, Pouchot J, Fautrel B. Validation of the Fautrel classification criteria for adult-onset Still&#8217;s disease. Semin Arthritis Rheum. 2018 Feb;47(4):578-585. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28760536\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Created: Nov 23, 2007<br \/>\nUpdate: Sep 17, 2021.<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Sorry, this entry is only available in Espa\u00f1ol.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[45],"tags":[16,15,123,13,51,50,1070,1534],"class_list":["post-2502","post","type-post","status-publish","format-standard","hentry","category-rheumatology","tag-criteria","tag-criterios","tag-diagnosis","tag-diagnostico","tag-disease","tag-enfermedad","tag-rheumatology","tag-still"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2502","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/comments?post=2502"}],"version-history":[{"count":4,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2502\/revisions"}],"predecessor-version":[{"id":9013,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2502\/revisions\/9013"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=2502"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=2502"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=2502"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}