Ferritin as a AOSD Marker (found in my meanderings)

[Guest guest]

I do believe that there was some recent discussion surrounding some

rummy rheumy stating that one of our members could not have Still's

because their Ferritin was not elevated. (some doc told me that in

the ER one time, however, I have much more faith in my own doc.)

Well, I came across a reference to a Grand Rounds from s Hopkins

Dept of Rheumatology. It is a quite interesting case study. Here is

the link:

http://www.hopkins-arthritis.org/physician-corner/case-

rounds/case11/11_case.html#history

This little excerpt notes that although a Ferritin level greater than

3000 ng/ml can help point to AOSD, it is not necessarily a

requirement in the diagnosis.

Here is that note:

" Some suggest that serum ferritin values above 3000 ng/mL in a

patient with typical symptoms, in the absence of infection, should

lead one to consider the diagnosis of AOSD. Although very elevated

ferritin levels are associated with AOSD, lower levels do not rule

out the disease and are not part of the diagnostic criteria "