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26 Jul 2005

stills disease - heart murmurs
Please could you sen me some information on the above disease!

Any information will do!

Thank you veru much
Answer 360 views
Expert
HeartDoc

01 Jan 0001


Dear Ronita,

Still’s disease is a Juvenile form of Rheumatoid Arthritis, which usually affects the whole body at once, not one joint at a time. Body parts other than joints can be affected, and the young person may be extremely ill at first, with a very high fever, rash, and joint pains. Some patients develop fluid around the heart, and this may cause an audible sound (through the stethoscope only) – this is the only “murmur” I know of which can occur frequently. The treatment or management of this will depend on the general state of the patient, and the paediatrician/immunologist or other specialist caring for the patient will be the best person to advise you. Generally, treatment is aimed at relieving symptoms, and at modifying the disease in the long term. True Still’s disease is a chronic condition, and the patient will need to learn about the condition and how to be part of the management team. It may be necessary to use cortisone or other disease-modifying drugs to prevent destruction of joints. Things such as special diets or homeopathic approaches have not had good results at all, often failing to prevent severe joint damage. This condition must be managed aggressively, and many patients do very well with early diagnosis and good treatment.

If you need extra information, you could try www.Medscape.com or www.Mayoclinic.com . Type in Still’s disease in the search engine, and take it from there.

Good luck.

HeartDoc
The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical examination, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.
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