Pediatric rheumatology

Unmet needs and research gaps in Still’s disease across ages: proceedings from a pediatric and adult joint expert panel

Pediatr Rheumatol Online JPublished Expert panel proceedings

Methodological detailspediatric and adult joint expert panel, supplemented by relevant literature, Four topics discussed: early recognition and diagnosis; pathogenetic pathways and biomarkers; refractory disease and risk factors; treatment of SD and its complications
  • Pediatric and adult joint expert panel
  • Supplemented by relevant literature
  • Four topics discussed: early recognition and diagnosis; pathogenetic pathways and biomarkers; refractory disease and risk factors; treatment of SD and its complications

Recommendations

As issued by the authors

  1. Improved diagnostic criteria and validation of biomarkers are important steps towards early diagnosis; several biomarkers remain to be universally validated and available for clinical practice

  2. Awareness of important complications, including macrophage activation syndrome and lung disease, is crucial for improving outcomes, alongside better understanding of risk factors for refractory disease

  3. IL-1 and IL-6 inhibitors have improved treatment; harmonizing the therapeutic approach across centers and countries and developing strategies for refractory patients remain a challenge

Original publication

Unmet needs and research gaps in Still’s disease across ages: proceedings from a pediatric and adult joint expert panel. Pediatr Rheumatol Online J. Published 23 April 2025. doi:10.1186/s12969-025-01092-5

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