Case Report
Elevated Troponin Serum Levels in Adult Onset Still’s Disease
Table 1
Clinicoserological features of the 4 patients affected by adult onset Still’s disease (AOSD) with serum troponin levels elevation.
| Patient number | Sex/age (years) | Clinical features | Troponin cTnI peak normal <0.06 ng/mL | EKG | ECHO-cg | Therapy | Troponin normalization time | AOSD outcome |
| 1 | M/19 | High fever, rash, sore throat, arthralgias, and neutrophilia | 0.5 | Normal | Slight LV thickness | Steroids | 3 days | Remission | 2 | M/27 | High fever, cough, dyspnea, arthralgias, rash, and neutrophilia | 3.04 | Normal | Mild pericardial effusion | Steroids | 4 days | Remission | 3 | M/49 | High fever, rash, sore throat, arthralgias, and neutrophilia | 0.33 | Normal | Negative | Steroids | 2 days | Remission | 4 | M/70 | High fever, sore throat, arthralgias, and neutrophilia | 2.0 | Normal | Negative | Ibuprofen | 15 days | Remission |
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