###Human: Can shoulder joint pain indicate the recurrence of Still's disease? ###Assistant: Hello. Do not worry, Still's disease is only on clinical diagnosis present like intermittent fever, arthritis, and rash (not itching). Usually, there is no confirmatory test for this. Depending upon joint pain long lasting more than six weeks, with rash, pleurisy and body pains, etc. Before confirming it is one more episode of Still's flare-up. You may evaluate for rheumatoid arthritis, Gout, hypothyroidism, and frozen shoulder. So get it done ESR, CRP, Ra factor, ANA and hemoglobin status. Use tablet Naprosyn twice a day for five days. Use tablet Pantoprazole before breakfast for one week. If symptoms not improved please review with above reports or consult your physician he will examine and treat you accordingly. Take care.