©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jun 6, 2024; 12(16): 2837-2841
Published online Jun 6, 2024. doi: 10.12998/wjcc.v12.i16.2837
Published online Jun 6, 2024. doi: 10.12998/wjcc.v12.i16.2837
Managing adult-onset Still's disease in pregnancy: A case report
Ji-Hyoun Kang, Division of Rheumatology, Department of Internal Medicine, Chonnam National University Medical School & Hospital, Gwangju 61469, South Korea
Author contributions: Kang JH designed the research study, performed the research, and analyzed the data and wrote the manuscript; Kang JH has read and approved the final manuscript.
Informed consent statement: This report was prepared with the written consent of the patient.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Ji-Hyoun Kang, MD, PhD, Assistant Professor, Division of Rheu
Received: December 13, 2023
Revised: March 7, 2024
Accepted: April 10, 2024
Published online: June 6, 2024
Processing time: 167 Days and 21.6 Hours
Revised: March 7, 2024
Accepted: April 10, 2024
Published online: June 6, 2024
Processing time: 167 Days and 21.6 Hours
Core Tip
Core Tip: This case study explores the intricate challenges faced by a 29-year-old woman with adult-onset Still’s disease (AOSD) during pregnancy, resulting in the premature birth of an infant diagnosed with neonatal hemophagocytic lympho-histiocytosis. Pregnancy exacerbates the risks associated with AOSD, including heightened chances of fetal loss and preterm birth. The management of AOSD during pregnancy involves utilizing nonsteroidal anti-inflammatory drugs, glucocorticoids, and, in severe cases, immunosuppressive agents despite potential fetal risks such as low birth weight and preterm birth, highlighting the delicate balance required in addressing the complexities of AOSD during gestation.