Cracking the Code: High Ferritin Load With Salmon-Colored Skin Episodes

Authors

Paraash Satyal, Department of Hospital Medicine, Internal Medicine Wyckoff Medical Center, 374 Stockholm Street, Brooklyn, New York, 11237, United States.
Walia Sukhcharan, Department of Hospital Medicine, Internal Medicine Wyckoff Medical Center, 374 Stockholm Street, Brooklyn, New York, 11237, United States.
Neriy Yakubov, Department of Hospital Medicine, Internal Medicine Wyckoff Medical Center, 374 Stockholm Street, Brooklyn, New York, 11237, United States.
Benson Babu, Department of Hospital Medicine, Internal Medicine Wyckoff Medical Center, 374 Stockholm Street, Brooklyn, New York, 11237, United States.

Author Type(s)

Faculty

DOI

10.1093/omcr/omae092

Journal Title

Oxford Medical Case Reports

First Page

omae092

Document Type

Article

Publication Date

8-1-2024

Department

Medicine

Abstract

A 37-year-old previously healthy male presented to the Emergency Department with a two-week history of intermittent fevers, joint pain, sore throat, and a diffuse salmon-colored rash. Examination revealed a pruritic rash with joint swelling and red spots in the oropharynx. Initial sepsis management was instituted, but subsequent investigations, including infectious, hematologic, and autoimmune workups, were inconclusive. Notably, elevated ferritin levels prompted consideration of life-threatening conditions like Hemophagocytic Lymphohistiocytosis, which was ultimately ruled out. Adult-onset Still's Disease (AOSD) emerged as the leading diagnosis following the exclusion of other potential causes. A skin biopsy was performed with non-specific findings and corticosteroid treatment led to significant improvement. This case illustrates the clinical decision-making process of diagnosing AOSD and highlights the potential utility of novel AI technology in dermatologic assessments.

Recommended Citation

Satyal, P., Sukhcharan, W., Yakubov, N., & Babu, B. (2024). Cracking the Code: High Ferritin Load With Salmon-Colored Skin Episodes. Oxford Medical Case Reports, 2024 (8), omae092. https://doi.org/10.1093/omcr/omae092