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Evaluation of serum ferritin as a marker for adult Still's disease activity.
  1. M Schwarz-Eywill,
  2. B Heilig,
  3. H Bauer,
  4. A Breitbart,
  5. A Pezzutto
  1. Department of Internal Medicine, Med Poliklink V, University of Heidelberg, Germany.


    Extremely high serum ferritin values (greater than 10,000 micrograms/l) were detected in two patients with adult Still's disease. The ferritin concentrations decreased to normal after adequate treatment. During a one year follow up ferritin concentration was helpful in monitoring disease activity and guiding decisions about treatment. Raised concentrations of soluble interleukin 2 receptors (sCD25) were also found. Detection of ferritin values above 3000 micrograms/l should lead to the consideration of Still's disease when there is an acute febrile illness without evidence for bacterial or viral infections, serum ferritin being suitable for monitoring treatment.

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