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Exploring Best Practices for Diagnosis & Management of Adult-Onset Still's Disease
AOSD Podcast
4 episodes
4 days ago
Adult-onset Still’s disease (AOSD) is a rare, polygenic autoinflammatory syndrome with a pathogenesis similar to systemic juvenile inflammatory arthritis. Join Drs. Petros Efthimiou and Olga Petryna as they discuss making the diagnosis of AOSD through interpretation of clinical and laboratory findings and careful exclusion of other diseases. The faculty review the evidence related to the variety of medications often used to treat patients with AOSD, focusing on canakinumab, the only medication approved in the United States for the disease.
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Medicine
Health & Fitness
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Adult-onset Still’s disease (AOSD) is a rare, polygenic autoinflammatory syndrome with a pathogenesis similar to systemic juvenile inflammatory arthritis. Join Drs. Petros Efthimiou and Olga Petryna as they discuss making the diagnosis of AOSD through interpretation of clinical and laboratory findings and careful exclusion of other diseases. The faculty review the evidence related to the variety of medications often used to treat patients with AOSD, focusing on canakinumab, the only medication approved in the United States for the disease.
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Medicine
Health & Fitness
Episodes (4/4)
Exploring Best Practices for Diagnosis & Management of Adult-Onset Still's Disease
Case Studies
  • The diagnosis of adult-onset Still’s disease requires extensive evaluation guided by whether systemic or joint signs/symptoms predominate
  • Initial disease-modifying therapy with methotrexate is often inadequate to provide symptom relief
  • Treatment modification with targeted biologic treatment is generally required to achieve treatment goals
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4 years ago
9 minutes 46 seconds

Exploring Best Practices for Diagnosis & Management of Adult-Onset Still's Disease
Treatment Strategies & Options
  • Goals of treatment: control inflammation, prevent joint and organ damage, minimize treatment-related adverse events; relieve patient burden
  • A wide variety of non-biologic and biologic medications are used for treatment, but are supported with limited evidence
  • Canakinumab is the only medication approved by the US Food and Drug Administration for the treatment of patients with adult-onset Still’s disease based, in part, on the results of the phase 3 CONSIDER trial
  • There is no standardized approach to patient monitoring, but is closely tied to the goals of treatment
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4 years ago
15 minutes 29 seconds

Exploring Best Practices for Diagnosis & Management of Adult-Onset Still's Disease
Recognition & Diagnosis
  • Adult-onset Still’s disease is a diagnosis of exclusion
  • Yamaguchi criteria are useful to classify the disease
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4 years ago
13 minutes 16 seconds

Exploring Best Practices for Diagnosis & Management of Adult-Onset Still's Disease
Pathogenesis & Clinical Features
  • Adult-onset Still’s disease appears to share a similar pathogenesis and disease burden as systemic juvenile inflammatory arthritis
  • Viral infection appears to be a common trigger in those with a genetic predisposition, resulting in producing a pro-inflammatory state
  • Patients often present with Still’s triad: daily fevers, evanescent rash, and arthritis
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4 years ago
14 minutes 41 seconds

Exploring Best Practices for Diagnosis & Management of Adult-Onset Still's Disease
Adult-onset Still’s disease (AOSD) is a rare, polygenic autoinflammatory syndrome with a pathogenesis similar to systemic juvenile inflammatory arthritis. Join Drs. Petros Efthimiou and Olga Petryna as they discuss making the diagnosis of AOSD through interpretation of clinical and laboratory findings and careful exclusion of other diseases. The faculty review the evidence related to the variety of medications often used to treat patients with AOSD, focusing on canakinumab, the only medication approved in the United States for the disease.