Observations on the Clinical Course and Treatment of One Hundred Cases of Still's Disease

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Abstract
The most important systemic features and complications of Still''s disease are described in addition to unusual types of arthritis, which may obscure the diagnosis. Some support is given to the conception that rheumatoid arthritis is only one of a group of collagen disorders by the association in certain instances of Still''s disease and dermato-myositis in the same patient. Treatment with steroids gives the best results if begun early. The duration, of treatment required is much shorter in children than in adults. Osteoporosis with vertebral collapse is the most serious complication of steroid therapy. Although a few recalcitrant cases pursue a relentless course in spite of all forms of treatment, steroid therapy is justified in all but mild forms of the disease and is most likely to bring about complete recovery.