Still’s Disease is characterized by fever, joint pain and swelling, rashes, muscle pain and so on. All these symptoms do not occur simultaneously; neither do they follow a definite pattern. Some symptoms may appear weeks after the onset of the disease. Fever is one of the first symptoms of Still’s Disease. It usually spikes by evening and fades by morning. Sometimes, a person may experience two fever spikes in one day. The fever is usually accompanied by the appearance of a salmon pink rash on the chest or thighs. Rashes may also appear on the hands, face and feet. Rubbing the skin can cause rash to worsen. Another major symptom is pain in the joints. Joints of the knees, wrists, hands, elbows and shoulder become painful and swollen. There may be a warm feeling in the affected joints. Joint pain is accompanied by pain in the muscles. Muscle pain may become worse with fever. Other symptoms of this disease include sore throat, abdominal pain, abdominal pain caused by enlarged liver or spleen and inflammation of the lining of the lungs and heart. The symptoms of Still’s Disease mimic that other conditions like viral fever, tuberculosis, Lyme disease, rheumatic arthritis, hepatitis etc. Therefore, diagnosis is difficult.
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