Patients also have leukocytosis and unusually dramatic elevations in ferritin.
A clue to the diagnosis was her history of two similar episodes during the previous year, both of which spontaneously resolved, and one of which required hospitalization and was attributed to a viral syndrome. Because these kind of patients are often referred to a rheumatologist once the diagnosis is made, I wasn't sure what her long-term outcome might be. Well, here is the answer. Still's were followed for at least 10 years after their initial presentation. 1 Both groups had similar initial manifestations and joint involvement, and equally severe long-term sequellae.