Acute Myocarditis Revealing Adult-Onset Still's Disease

Raphaël Cohen; Pascal Nhan; Clément Cholet; Vincent Jachiet; Stéphane Ederhy; Arsène Mékinian; Franck Boccara; Olivier Fain; Ariel Cohen

doi:10.1016/j.jaccas.2021.03.008

Acute Myocarditis Revealing Adult-Onset Still's Disease

JACC Case Rep. 2021 May 5;3(7):1002-1006. doi: 10.1016/j.jaccas.2021.03.008. eCollection 2021 Jul 7.

Authors

Affiliations

¹ Department of Cardiology, Saint-Antoine and Tenon Hospitals, Assistance Publique-Hôpitaux de Paris and Sorbonne University, Paris, France.
² Radiology Department, Saint-Antoine Hospital, Assistance Publique-Hôpitaux de Paris and Sorbonne University, Paris, France.
³ Service de Médecine Interne and Inflammation-Immunopathology-Biotherapy Department Paris, Assistance Publique-Hôpitaux de Paris, Hôpital Saint-Antoine and Sorbonne University, Paris, France.
⁴ National de la Santé Et de la Recherche Médicale Unité Mixte de Recherche S_938, Centre de Recherche Saint-Antoine, Paris, France.
⁵ Institut National de la Santé Et de la Recherche Médicale Unité Mixte de Recherche en Sciences-Institute of Cardiometabolism And Nutrition 1166, Sorbonne University, Paris, France.

Abstract

A 34-year-old man presented with fever, palpitations, maculopapular rash, pharyngitis, left cheilitis, and bilateral gonalgia. High-sensitivity troponin I concentration was 4,900 ng/l. Transthoracic echocardiogram revealed reduced global longitudinal strain. Cardiac magnetic resonance imaging showed acute myocarditis. Adult-onset Still's disease was diagnosed, and treatment with intravenous corticosteroids and tocilizumab was initiated. (Level of Difficulty: Beginner.).

Keywords: AOSD, adult-onset Still’s disease; GLS, global longitudinal strain; LVEF, left ventricular ejection fraction; TTE, transthoracic echocardiogram; adult-onset Still’s disease; myocarditis.

Publication types

Case Reports