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Development and validation of clinical criteria for the definition of disease activity in adult-onset Still's disease: a cohort study - PubMed

5 hours ago
  • #Adult-onset Still's disease
  • #Clinical validation
  • #Disease activity criteria
  • Study aimed to develop and validate clinical criteria for assessing disease activity in adult-onset Still's disease.
  • Data from GIRRCS cohort (187 patients) and CONSIDER trial (41 patients) were used for development and validation.
  • Selected criteria include fever, skin rash, arthritis, patient global assessment ≥2 cm, and CRP >10 mg/L.
  • Active disease defined as fever plus one other criterion, or no fever with at least three other criteria.
  • Low disease activity defined as no fever and no more than one criterion.
  • Clinically inactive disease defined as absence of all five criteria.
  • Performance of criteria was validated with high AUROC values across cohorts.