An Initially Missed Diagnosis of Venous Thromboembolic Phenomenon in Adult-Onset Still’s Disease: A Case Report and Literature Review

Mahlatse Mankgele; Delisa Hlawe; Zayithwa Fabiano; Ahmed Solomon; Riju Thomas; Mbali Matyeshana; Olwethu Mbakaza; Mpoti Seboka

doi:10.12659/AJCR.939520

23 June 2023 : Case report South Africa

An Initially Missed Diagnosis of Venous Thromboembolic Phenomenon in Adult-Onset Still’s Disease: A Case Report and Literature Review

Unusual clinical course, Mistake in diagnosis, Diagnostic / therapeutic accidents, Management of emergency care, Rare disease, Educational Purpose (only if useful for a systematic review or synthesis), Rare coexistence of disease or pathology

Mahlatse Mankgele

^1ABCDEFG*, Delisa Hlawe

^1ABCDEFG, Zayithwa Fabiano^1ABCDEFG, Ahmed Solomon^2ABCDEFG, Riju Thomas^3DF, Mbali Matyeshana^4BCDF, Olwethu Mbakaza^5DF, Mpoti Seboka^2ABCDEFG

DOI: 10.12659/AJCR.939520

Am J Case Rep 2023; 24:e939520

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Table 1. Work-up at time of diagnosis of AoSD.

Parameter	Result	Reference range
White cell count	16.49×10/L	3.9–12.6
Hemoglobin	12.8 g/dL	11.6–16.4
Mean cell volume	84 fl	78.9–98.5
Platelets	297×10/L	186–454
Erythrocyte sedimentation rate	80 mm/hr	<10
C-reactive protein	196 mg/L	<10
ALP	245 U/L	42–89
AST	76 U/L	13–35
ALT	71 U/L	7–35
Ferritin	1630 mcg/L	<15
ANA	Negative
Rheumatoid factor	Less than 11	<10
Hepatitis B surface antigen	Negative
Hepatitis C antibody	Negative
HIV ELISA	Negative
Tuberculosis culture	No growth
Bacterial culture	No growth

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An Initially Missed Diagnosis of Venous Thromboembolic Phenomenon in Adult-Onset Still’s Disease: A Case Report and Literature Review

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