Authors : Gaurav Agarwal, Gaurav Agarwal, Lalit Gupta, Lalit Gupta
DOI : 10.18231/j.ijca.2020.035
Volume : 7
Issue : 1
Year : 2020
Page No : 195-197
Adult-onset Still ’s disease (AOSD), is a chronic systemic inflammatory 1 disorder rarely encountered in
clinical practice, described by Sir George Frederick Still in 1897. AOSD is of unknown aetiology with
the incidence estimated to be 0.16 per 100,000 persons with articular and extra-articular or systemic
manifestations. AOSD has a more acute course than compared to rheumatoid arthritis in adults, often
affecting many parts of the body before settling in the various joints. Its diagnosis is made by exclusion.
Securing airway mainly tracheal intubation may be difficult due to involvement of cervical spine,
temporomandibular joint and laryngeal involvement (crico-arytenoid arthritis). In addition, intermittent
disease flare-ups with laryngeal involvement may cause delayed extubation. This case highlights the
anaesthetic concerns involved with the Still’s disease.
Keywords: Still disease, Adultonset Still’s disease (AOSD), Chronic systemic inflammatory disorder