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Table 4 Reports describing common features shared by AOSD and SJIA or differences between the two conditions

From: Management of adult-onset Still’s disease with interleukin-1 inhibitors: evidence- and consensus-based statements by a panel of Italian experts

Study

Patients

Similarities

Differences

Clinical features

 Bywaters [2]

AOSD, n = 14

SJIA, NA

Adult patients with the same clinical features of SJIA: “Still disease” of the adults?

 Cabane et al. [32] (retrospective chart review)

AOSD, n = 8

SJIA, n = 10

No significant differences in initial systemic manifestations or in joint lesions

Amyloidosis restricted to AOSD (n = 3)

 Tanaka et al. [44] (in Japanese; abstract in English)

AOSD, n = 19

SJIA, n = 26

Fever and arthritis in all patients

Polyarthritis, 77% SJIA versus 53% AOSD

Sore throat more frequent in AOSD (AOSD 68% versus SJIA 19%)

 Ohta and Yamaguchi [41] (in Japanese; abstract in English)

AOSD, n = 92

SJIA, n = 11

91–93% clinical items statistically not different between SJIA and AOSD

 Uppal et al. [4] (retrospective analysis)

AOSD, n = 31

SJIA, n = 23

Similar incidence of fever, sore throat, lymphadenopathy, and splenomegaly

Rash and hepatomegaly more common in SJIA

Polyarthritis more common in AOSD

 Luthi et al. [37] (retrospective review)

AOSD, n = 10

SJIA, n = 9

Similar presentation at onset (systemic and articular manifestations)

 Lin et al. [36] (retrospective analysis)

AOSD, n = 21

SJIA, n = 24

Similar presentation at onset (systemic and articular manifestations)

Sore throat more frequent in AOSD

 Pay et al. [38] (multicenter retrospective review)

AOSD, n = 95

SJIA, n = 25

No differences in the pattern of fever and localization of skin rash

Higher frequency of fever, rash, myalgia, weight loss, and sore throat in AOSD

Response to treatment/clinical outcome

 Cabane et al. [32]

AOSD, n = 8

SJIA, n = 10

The same treatments

Poor articular prognosis in both conditions

 Tanaka et al. [44]

AOSD, n = 19

SJIA, n = 26

The same articular prognosis with the same treatments

 Uppal et al. [4]

AOSD, n = 31

SJIA, n = 23

Similar clinical outcomes

 Luthi et al. [37]

AOSD, n = 10

SJIA, n = 9

Similar clinical outcomes

 Lin et al. [36]

AOSD, n = 21

SJIA, n = 24

Better articular outcome in AOSD than SJIA

 Pay et al. [38]

AOSD, n = 95

SJIA, n = 25

The same treatments in both conditions

 Feist et al. [33] (subgroup analysis of pooled data from 4 SJIA studies with canakinumab)

AOSD, n = 29

SJIA, n = 272

The same response to treatment with canakinumab

Laboratory parameters

 Tanaka et al. [44]

AOSD, n = 19

SJIA, n = 26

Similar initial laboratory data

Serum iron levels more elevated in AOSD than SJIA

 Uppal et al. [4]

AOSD, n = 31

SJIA, n = 23

Similar laboratory profiles

 Luthi et al. [37]

AOSD, n = 10

SJIA, n = 9

Similar laboratory profiles

Ferritin levels elevated both in SJIA and AOSD

 Lin et al. [36]

AOSD, n = 21

SJIA, n = 24

Similar laboratory profiles

Ferritin levels more elevated in AOSD than in SJIA

 Pay et al. [38]

AOSD, n = 95

SJIA, n = 25

Similar laboratory profiles

Liver dysfunction and neutrophilia more common in AOSD than in SJIA

 Hashimoto et al. [39] (in Japanese; abstract in English)

AOSD, n = 7

SJIA, n = 4

IL-2 receptor elevated in sera of AOSD and SJIA patients compared to controls

 Bae et al. [29]

AOSD, n = 37

SJIA, NA

S100A12 (calcium-binding protein) elevation in sera of AOSD compared to controls (as described in SJIA)

 Kudela et al. [47]

(abstract)

AOSD, n = 30

SJIA, n = 20

Highly elevated IL-18 serum levels in both active AOSD and SJIA

Genetic profile

 Miller et al. [48]

AOSD, n = 16

SJIA, n = 35

HLA-DR4 more involved in SJIA

HLA-DR7 more involved in AOSD

 Cush et al. [50]

(ACR-ARHP abstract)

AOSD, n = 21

SJIA, NA

Genomic profiling in AOSD patients similar to studies in SJIA patients

 Nirmala et al. [49]

AOSD, n = 17

SJIA, NA

Similar genes upregulated/downregulated by treatment with IL-1 inhibitors in AOSD compared to studies in SJIA patients

Classification criteria

 Talesnik et al. [43] (retrospective analysis in Spanish; abstract in English)

AOSD, n = 7

SJIA, n = 14

The same proportion of patients in each form of disease course (monocyclic systemic form, polycyclic systemic form, monocyclic chronic joint form, polycyclic chronic joint form)

 El Hamshary et al. [54] (retrospective cross-sectional study)

AOSD, NA

SJIA, n = 30

23/30 SJIA patients fulfilled Yamaguchi criteria and 20/30 ILAR criteria

 Kumar et al. [52] (retrospective chart review)

AOSD, NA

SJIA, n = 31

23/31 SJIA patients fulfilled Yamaguchi criteria and 18/31 ILAR criteria

 Oliveira Ramos et al. [55] (analysis of Portuguese rheumatic disease registry)

AOSD, NA

SJIA, n = 66

35/66 SJIA patients fulfilled criteria for AOSD

 Yang et al. [53] (retrospective review)

AOSD, n = 169

SJIA, NA

ILAR criteria for SJIA can identify AOSD patients at risk of relapse, MAS, and ICU

 Debach et al. [56] (abstract)

AOSD, NA

SJIA, n = 17

42% of patients with SJIA fulfilled Yamaguchi criteria for AOSD

  1. AOSD adult-onset Still’s disease, ICU intensive care unit, IL interleukin, ILAR International Leagues of Associations of Rheumatology, MAS macrophage activation syndrome, SJIA systemic juvenile idiopathic arthritis