Adult-onset Still’s disease complicated with macrophage activation syndrome: A case report

Adult-onset Still’s disease is a rare systemic disease while macrophage activation syndrome is a fulminant complication of Still’s disease. As mortality is high in macrophage activation syndrome, prompt diagnosis is crucial to commence definitive management. Adult-onset Still’s disease is a rare systemic disease while macrophage activation syndrome is a fulminant complication of Still’s disease. As mortality is high in macrophage activation syndrome, prompt diagnosis is crucial to commence definitive management. Macrophage activation syndrome is a complication of adult-onset Still’s disease. When first-line immunosuppressives fail, second-line medications including biologic therapy can be considered with good results.