PMC2729264_01
Salmon-pink rash on the patient's upper arm.
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Physical examination revealed fever, muscle weakness, and salmon-pink rash (Figure 1).
Histopathological findings from a salmon-pink rash showed perivascular lymphocytes infiltration and fragmentation of blood cells, which was compatible with leukocytoclastic vasculitis. (Hematoxylin-eosin stain; original magnification: x25 (a) and x50 (b).)
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A skin biopsy of salmon pink rash showed perivascular lymphocytes infiltration and fragmentation of blood cells, which was compatible with leukocytoclastic vasculitis (Figure 2).
Changes in serum C-reactive protein (CRP), ferritin, aspartate aminotransferase (AST), alanine aminotransferase (ALT), and creatin kinase (CK) levels in a case with adult-onset Still's disease. Therapies A, B, C, and D mean acetaminophen (1500 mg/d), loxoprofen sodium (180 mg/d), meloxicam (10 mg/d), and corticosteroid (20 mg/d), respectively.
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Acetaminophne, loxoprofen sodium, and meloxicam decreased his fever, serum CRP, and ferritin levels; however, these NSAIDs elevated serum aspartate aminotransferase (AST), alanine aminotransferase (ALT), and CK levels (Figure 3). A 20 mg corticosteroid therapy promptly ameliorated patient's symptoms and decreased serum AST, ALT, and CK (Figure 3).