Figure 1.

Severe anasarca caused by the uncontrollable systemic inflammatory response syndrome complicating adult-onset Still disease. A, Chest and (B) abdominal computed tomography show effusion in the third spaces and hepatomegaly. C, Both internal jugular lymph nodes are enlarged. D, Salmon-pink purpura on the left foot is seen. E, Pathologic examination of the biopsy sample from the right lymph node (arrow) shows no evidence of proliferative diseases, such as malignancy or Castleman disease. F, Cataract edema (arrows) during the peak of anasarca, with 47-kg weight gain. G, Paracentesis drainage shows a transudate.