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Is my son taking correct treatment for Still's disease?

Q: My 11 years old son was diagnosed with Still's after suffering with it for 8 months. He was on Omnacortil and Naproxen for about a year and symptoms were cured eventually. But after a year he again had a similar problem and the same line of treatment was given. Now once again there is recurrence but somehow the same drugs along with Folitrax are not effective. He gets fever on every second or fourth day, body pain and chest pain. He is taking Omnacortil 10 mg, Naproxen 250 sos and Folitrax injection 0.5 ml weekly for the last 4 months. We were supposed to taper the steroids but because of his condition it has not been done so far. Is the line of treatment correct?

A:It would appear that your son is on an appropriate treatment regime for Still's disease. However, if one is not getting the desired response and the disease is still active (which is what appears to be judging from your query), then one would need to consider modifying the treatment regime. The line of treatment that is effective may vary in individual patients. He needs to be under a regular follow up with a rheumatologist in order to achieve this.

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