Atypical Adult-onset Still’s disease with flagellate morphology in a patient with skin of color
mycolabadmin
A 28-year-old African American woman was diagnosed with Adult-onset Still’s disease, a rare inflammatory condition causing fever, joint pain, and skin rashes. Her rash had an unusual linear, stripe-like pattern with dark pigmentation that doesn’t typically appear in standard descriptions of this disease. She was successfully treated with anakinra and later tocilizumab, medications that reduce inflammation, leading to complete symptom resolution and sustained improvement over nine months.