20Aug 2018

STILL\\\'S DISEASE AND PREGNANCY: ABOUT A CASE AND REVIEW OF LITERATURE.

  • Hopital militaire d’instruction mohamed v rabat-maroc.

Adult Still\\\'s disease (ASD) is a auto inflammatory disease so-called polygenic. ASD is a rare pathology known as benign, its diagnosis remains a diagnosis of elimination based on the set of polymorphic clinical signs (fever, rash and or arthralgia), with 2 forms, systemic and articular. Thus, in the absence of a specific diagnostic marker, the ASD remains a diagnosis of elimination. The interaction between ASD and pregnancy is poorly known, the literature is still poor given its rarity, the number of published observations does not exceed thirty, so its discovery during pregnancy can may compromise the outcome of pregnancy, rarely a life-threatening of the mother.disease flares can occur during ASD in the 2nd trimester and in the postpartum. Corticosteroid therapy is the first-line treatment of ASD, probably more effective in systemic forms of the disease. We recall here this pathology through the case of a patient who during 10 years of evolution of MSA, in its corticodependent systemic form, had carried out 3 pregnancies without resonance or dysgravidia.


DR. S. MOUFFAK


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