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 numberSex/age (years)Clinical featuresTroponin cTnI
peak normal <0.06 ng/mL
EKGECHO-cgTherapyTroponin normalization timeAOSD outcome

1M/19High fever, rash, sore throat, arthralgias, and neutrophilia0.5NormalSlight LV thicknessSteroids3 daysRemission
2M/27High fever, cough, dyspnea, arthralgias, rash, and neutrophilia3.04NormalMild pericardial effusionSteroids4 daysRemission
3M/49High fever, rash, sore throat, arthralgias, and neutrophilia0.33NormalNegativeSteroids2 daysRemission
4M/70High fever, sore throat, arthralgias, and neutrophilia2.0NormalNegativeIbuprofen15 daysRemission