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 |
✓ |