Chinese Journal of Dermatology ›› 2021, Vol. 54 ›› Issue (2): 165-169.doi: 10.35541/cjd.20190772

• Reviews • Previous Articles     Next Articles

Diagnosis and treatment of adult-onset Still′s disease

Yi Xiaoqing, Luo Shuaihantian, Zhang Guiying, Lu Qianjin   

  1. Department of Dermatology, The Second Xiangya Hospital of Central South University, Changsha 410011, China
  • Received:2019-07-26 Revised:2020-02-10 Online:2021-02-15 Published:2021-01-29
  • Contact: Luo Shuaihantian E-mail:lsht5309@csu.edu.cn
  • Supported by:
    National Natural Science Foundation of China (81703133); Fundamental Research Funds for the Central Universities of Central South University (502211904)

Abstract: 【Abstract】 Adult-onset Still′s disease (AOSD) is a type of systemic inflammatory disease of unknown etiology, with diverse clinical manifestations, and there are some difficulties in its diagnosis and treatment. In recent years, it has been found that some new markers, such as heme oxygenase 1, calreticulin, inflammatory cytokines and advanced glycation end products, can be used for a comprehensive assessment of the activity and severity of AOSD. Moreover, new biological agents, such as tumor necrosis factor inhibitors, interleukin-1 (IL-1) inhibitors, IL-6 inhibitors and recombinant IL-18 binding proteins, bring new hope for the treatment of AOSD. This review mainly summarizes progress in the diagnosis and treatment of AOSD.

Key words: Diagnosis, Biological markers, Therapy, Biological agents, Adult-onset Still′s disease