Autoinflammatory & rare systemic diseases

Treatment Approaches to Macrophage Activation Syndrome in Real Life and Priorities for Future Research: Results From the International METAPHOR Project

Arthritis RheumatolPublished Cross-sectional study

Authors' conclusion

MAS management remains highly heterogeneous worldwide.

Study context

Population
Physicians treating macrophage activation syndrome (MAS), recruited through PReS/PRINTO and Histiocyte Society networks (October to December 2023)physicians from 64 countries
Participants
287 physicians
Outcome
Real-life therapeutic strategies for MAS
Methodological detailsinternational web-based survey, anonymous, descriptive analysis
  • International web-based survey
  • Anonymous
  • Descriptive analysis

Main finding

As reported in the abstract

First-line MAS therapy

GC, particularly IV methylprednisolone, first-line across all MAS subtypes; as monotherapy

44%

Observational data: associations, not effects.

Original publication

Treatment Approaches to Macrophage Activation Syndrome in Real Life and Priorities for Future Research: Results From the International METAPHOR Project. Arthritis Rheumatol. Published 21 September 2026. doi:10.1002/art.70348

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