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Adult-onset Still's disease complicated by hypercalcaemia: possible relationship with rapidly destructive polyarthritis.
  1. J M Wouters,
  2. P G Froeling,
  3. L B van de Putte


    A 34-year-old man with adult-onset Still's disease developed a striking hypercalcaemia during a rapidly destructive polyarthritis with extensive osteoporosis. The hypercalcaemia seemed to be primarily caused by inflammation-induced bone resorption. On prednisone the polyarthritis went into remission and the plasma calcium levels became normal. Other remarkable features in this case were a subluxation of the atlantoaxial joint, a brain-stem haemorrhage, transient hyperuricaemia and hyperuricosuria, and urolithiasis.

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