Table 2.
Accordance of the presented patient with the Yamaguchi criteria for the diagnosis of adult-onset Still’s disease
Yamaguchi criteria (require the presence of five features, with at least two being major diagnostic criteria): | Patient’s characteristics |
---|---|
Major Yamaguchi criteria: |
|
1. Fever of at least 39°C lasting at least one week. |
+ |
2. Arthralgias or arthritis lasting two weeks or longer. |
– |
3. Typical rash (maculopapular, nonpruritic) during febrile episodes. |
+ |
4. Leukocytosis (10,000/μL or greater), with at least 80% granulocytes. |
+ |
Minor Yamaguchi criteria: |
|
1. Sore throat |
– |
2. Lymphadenopathy |
+ |
3. Hepatomegaly or splenomegaly |
– |
4. Abnormal liver function studies |
– |
5. Negative antinuclear antibodies and rheumatoid factor. |
+ |
Exclusions |
|
1. Infection, especially sepsis and infectious mononucleosis |
✓ |
2. Malignancies, especially lymphomas |
✓ |
3. Rheumatic diseases known to mimic adult Still’s disease | ✓ |