Evidence map›Paper›PMID 42109975›Full record

ArticleCureus2026

A Diagnosis of Exclusion: Unraveling Adult-Onset Still's Disease.

Anjiya Aswani, Oluwaseyi A Akinyooye, Mark Gudger, Claudia Barreda-Velit, Olga Abreu, Shaunique Ferguson, Chelsea Thompson

Abstract readCase Reports
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Anjiya AswaniInternal Medicine, Ross University School of Medicine, Chicago, USA.
Oluwaseyi A AkinyooyeObstetrics and Gynecology, Ross University School of Medicine, Chicago, USA.
Mark GudgerInternal Medicine, Ross University School of Medicine, Chicago, USA.
Claudia Barreda-VelitFamily Medicine, Mount Sinai Hospital, Chicago, USA.
Olga AbreuFamily Medicine, Mount Sinai Hospital, Chicago, USA.
Shaunique FergusonFamily Medicine, Mount Sinai Hospital, Chicago, USA.
Chelsea ThompsonRheumatology, Sinai Medical Group, Chicago, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Adult-onset Still's disease (AOSD) is a rare systemic autoinflammatory disorder characterized by quotidian fevers, arthralgia, transient rash, and elevated inflammatory markers, often leading to diagnostic delay due to overlap with infectious, autoimmune, and malignant conditions. We present the case of a 60-year-old Latina woman who developed daily fevers, polyarthralgia, rash, and hypoxemic respiratory failure. Despite broad-spectrum antibiotics, her symptoms persisted, and extensive infectious and hematologic evaluations were unrevealing. A diagnosis of AOSD was established based on the Yamaguchi criteria and markedly elevated ferritin. The patient responded to corticosteroids but later developed macrophage activation syndrome (MAS), requiring anakinra in addition to high-dose steroids. This case highlights the diagnostic challenges of AOSD in older adults, the potential for atypical systemic manifestations such as pulmonary nodules and anasarca, and the importance of early cytokine-directed therapy to prevent life-threatening complications.

Indexed as

adult-onset still’s disease (aosd)autoinflammatory disordermacrophage activation syndrome (mas)polyarthralgiaquotidian fever

Identifiers

PMID42109975
PMCPMC13157255

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.