[Dilemal Diagnosis Of A Rare Association Of Still's Disease And Sc Drepanocytosis: A Case Report From Bouaké University Hospital].

Still's disease is characterized by relapses simulating a sickle cell crisis. It is even rarer in sickle-cell patients. We report a case of a 25-year-old SC patient in crisis with fever evolving for 1 month despite usual analgesic treatment of a sickle cell crisis. Investigations revealed T 39.1°C, polyarthritis with skin lesions. Hyperleukocytosis at 17.5 G/L, anemia at 9 g/dl, hyperferritinemia at 1000 µg/l and hepatic cytolysis. MSA was considered in view of the presence of 7 Yamaguchi criteria. Progression was favorable with corticosteroid therapy.