Water-exacerbated Pruritus and a Flagellate Eruption: Adultonset Still’s Disease Occurring in Association with Influenza A Virus Infection

Abstract

Adult-onset Still’s disease (AOSD) presents with fever, systemic symptoms and rash. Atypical presentations are increasingly described. Uncommonly, viral-associated AOSD occurs. We report AOSD presenting in a 30-year-old male with waterexacerbated pruritus, a subsequent flagellate eruption, and associated influenza A virus infection.