Autoinflammatory & rare systemic diseases

Adult-onset Still’s disease: analysis of a monocentric cohort of patients

Scand J RheumatolPublished Retrospective cohort study

Authors' conclusion

The analysis of this cohort confirms that AOSD is a complex, severe, and heterogeneous disease. However, despite long-term treatment and comorbidities, therapies are effective and well tolerated.

Study context

Population
Patients attending a Clinical Immunology Unit fulfilling Yamaguchi, Fautrel, or Daghor-Abbaci classification criteria for Adult-onset Still's disease (AOSD); long follow-up
Participants
38 patients
Outcome
Clinical features, disease course and treatment
Methodological detailsmonocentric, Clinical and serological data collected at diagnosis and every 6 months; Pouchot score calculated at every visit
  • Monocentric
  • Clinical and serological data collected at diagnosis and every 6 months; Pouchot score calculated at every visit

Main finding

As reported in the abstract

Monocyclic disease course
25%
Polycyclic disease course
35%
Chronic articular involvement
40%
Severe complications at disease onset
21%
Treated with steroids
All
Received csDMARDs (MTX in most cases)
74%
Received bDMARDs (IL-1 inhibitors in most cases)
71%
Therapeutic switching for lack/loss of efficacy or adverse drug reactions
66%

Observational data: associations, not effects.

Original publication

Adult-onset Still’s disease: analysis of a monocentric cohort of patients. Scand J Rheumatol. Published 2 May 2024. doi:10.1080/03009742.2024.2328439

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