The Systemic Score May Identify Life-Threatening Evolution in Still Disease: Data from the GIRRCS AOSD-Study Group and the AIDA Network Still Disease Registry,Arthritis & Rheumatology

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The Systemic Score May Identify Life-Threatening Evolution in Still Disease: Data from the GIRRCS AOSD-Study Group and the AIDA Network Still Disease Registry
Arthritis & Rheumatology ( IF 13.3 ) Pub Date : 2024-03-18 , DOI: 10.1002/art.42845
Piero Ruscitti ₁ , Francesco Masedu ₁ , Antonio Vitale _{2,

3} , Valeria Caggiano _{2,

3} , Ilenia Di Cola ₁ , Paola Cipriani ₁ , Marco Valenti ₁ , Henrique A Mayrink Giardini ₄ , Isabele Parente de Brito Antonelli ₄ , Marilia Ambiel Dagostin ₄ , Giuseppe Lopalco ₅ , Florenzo Iannone ₅ , Morrone Maria ₅ , Ibrahim A Almaghlouth _{6,

7} , Kazi Nur Asfina ₇ , Hebatallah Hamed Ali ₇ , Francesco Ciccia ₈ , Daniela Iacono ₈ , Ilenia Pantano ₈ , Daniele Mauro ₈ , Petros P Sfikakis ₉ , Maria Tektonidou ₉ , Katerina Laskari ₉ , Onorina Berardicurti _{10,

11} , Lorenzo Dagna _{12,

13} , Alessandro Tomelleri _{12,

13} , Abdurrahman Tufan ₁₄ , Rıza Can Kardas ₁₄ , Andrea Hinojosa‐Azaola ₁₅ , Eduardo Martín‐Nares ₁₅ , Perla Ayumi Kawakami‐Campos ₁₆ , Gaafar Ragab _{17,

18} , Mohamed Tharwat Hegazy _{17,

18} , Haner Direskeneli ₁₉ , Fatma Alibaz‐Oner ₁₉ , Lampros Fotis ₂₀ , Paolo Sfriso ₂₁ , Marcello Govoni ₂₂ , Francesco La Torre ₂₃ , Maria Cristina Maggio ₂₄ , Carlomaurizio Montecucco _{25,

26} , Ludovico De Stefano _{25,

26} , Serena Bugatti _{25,

26} , Silvia Rossi ₂₆ , Joanna Makowska ₂₇ , Emanuela Del Giudice ₂₈ , Giacomo Emmi _{29,

30} , Elena Bartoloni ₃₁ , José Hernández‐Rodríguez ₃₂ , Giovanni Conti ₃₃ , Alma Nunzia Olivieri ₃₄ , Alberto Lo Gullo ₃₅ , Gabriele Simonini ₃₆ , Ombretta Viapiana ₃₇ , Ewa Wiesik‐Szewczyk ₃₈ , Sukran Erten ₃₉ , Francesco Carubbi ₄₀ , Amato De Paulis ₄₁ , Armin Maier ₄₂ , Samar Tharwat _{43,

44} , Stefania Costi ₄₅ , Annamaria Iagnocco ₄₆ , Gian Domenico Sebastiani ₄₇ , Antonio Gidaro ₄₈ , Antonio Luca Brucato ₄₉ , Anastasios Karamanakos ₅₀ , Nurullah Akkoç ₅₁ , Francesco Caso ₅₂ , Luisa Costa ₅₂ , Marcella Prete ₅₃ , Federico Perosa ₅₃ , Fabiola Atzeni ₅₄ , Giuliana Guggino ₅₅ , Claudia Fabiani _{2,

3} , Bruno Frediani _{2,

3} , Roberto Giacomelli _{10,

11} , Luca Cantarini _{2,

3}

Affiliation

Rheumatology Unit, Department of Biotechnological and Applied Clinical Sciences University of L'Aquila L'Aquila Italy
Department of Medical Sciences, Surgery and Neurosciences, Research Center of Systemic Autoinflammatory Diseases and Behçet's Disease Clinic University of Siena Siena Italy
Azienda Ospedaliero‐Universitaria Senese [European Reference Network (ERN) for Rare Immunodeficiency, Autoinflammatory and Autoimmune Diseases (RITA) Center] Siena Italy
Rheumatology Division, Faculdade de Medicina, Hospital das Clínicas, Universidade de São Paulo São Paulo Brazil
Department of Precision and Regenerative Medicine and Ionian Area (DiMePRe‐J) Policlinic Hospital University of Bari Bari Italy
Rheumatology Unit, Department of Medicine, College of Medicine King Saud University Riyadh Saudi Arabia
College of Medicine Research Center, College of Medicine King Saud University Riyadh Saudi Arabia
Department of Precision Medicine University of Campania "Luigi Vanvitelli" Naples Italy
Joint Academic Rheumatology Program, Medical School National and Kapodistrian University of Athens Athens Greece
Clinical and research section of Rheumatology and Clinical Immunology, Fondazione Policlinico Campus Bio‐Medico, Via Álvaro del Portillo 200, 00128 Rome Italy
Rheumatology, Immunology and Clinical Medicine Unit, Department of Medicine University of Rome “Campus Biomedico” School of Medicine Rome Italy
Division of Immunology, Transplants and Infectious Diseases, Università Vita‐Salute San Raffaele Milan Italy
Unit of Immunology, Rheumatology, Allergy and Rare Diseases, IRCCS Ospedale San Raffaele Milan Italy
Gazi University Hospital, Department of Internal Medicine, Division of Rheumatology Ankara Turkey
Department of Immunology and Rheumatology Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán Mexico City Mexico
Department of Ophthalmology Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán Mexico City Mexico
Internal Medicine Department, Rheumatology and Clinical Immunology Unit, Faculty of Medicine Cairo University Egypt
Faculty of Medicine Newgiza University (NGU) Egypt
Department of Internal Medicine, Division of Rheumatology Marmara University, Faculty of Medicine Istanbul Turkey
Department of Pediatrics, Attikon General Hospital National and Kapodistrian University of Athens Greece
Rheumatology Unit, Department of Medicine University of Padua Padua Italy
Rheumatology Unit, Department of Medical Sciences, Azienda Ospedaliero‐Universitaria S. Anna‐Ferrara University of Ferrara Ferrara Italy
Department of Pediatrics, Pediatric Rheumatology Center, Giovanni XXIII Pediatric Hospital University of Bari Bari Italy
University Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties (PROMISE) "G. D'Alessandro" University of Palermo Palermo Italy
Department of Internal Medicine and Therapeutics University of Pavia Italy
Division of Rheumatology, Fondazione IRCCS Policlinico San Matteo Pavia Italy
Department of Rheumatology Medical University of Lodz, Zeromskiego 113, 90‐549 Lodz Poland
Pediatric and Neonatology Unit, Department of Maternal Infantile and Urological Sciences Sapienza University of Rome Latina Italy
Department of Experimental and Clinical Medicine University of Florence Florence Italy
Centre for Inflammatory Diseases, Department of Medicine, Monash Medical Centre Monash University Clayton VIC Australia
Rheumatology Unit, Department of Medicine and Surgery University of Perugia Perugia Italy
Department of Autoimmune Diseases, Institut d'Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), Hospital Clínic of Barcelona [European Reference Network (ERN) for Rare Immunodeficiency, Autoinflammatory and Autoimmune Diseases (RITA) Center] University of Barcelona Barcelona Spain
Pediatric Nephrology and Rheumatology Unit, Azienda Ospedaliera Universitaria (AOU), "G. Martino" Messina Italy
Department of Woman, Child and of General and Specialized Surgery University of Campania "Luigi Vanvitelli" Naples Italy
UOSD Reumatologia, ARNAS Garibaldi Catania Italy
NEUROFARBA Department, Rheumatology Unit, Meyer Children's Hospital IRCCS University of Florence Florence Italy
Rheumatology Unit, Department of Medicine University and Azienda Ospedaliera Universitaria Integrata of Verona Italy
Department of Internal Medicine, Pneumonology, Allergology and Clinical Immunology, Central Clinical Hospital of the Ministry of National Defense, Military Institute of Medicine National Research Institute Warsaw Poland
Department of Rheumatology, Faculty of Medicine Ankara City Hospital Ankara Yıldırım Beyazıt University Ankara Turkey
Department of Life, Health & Environmental Sciences and Internal Medicine and Nephrology Unit, Department of Medicine University of L'Aquila and ASL Avezzano‐Sulmona‐L'Aquila, San Salvatore Hospital L'Aquila Italy
Department of Translational Medical Sciences, Section of Clinical Immunology University of Naples Federico II, Naples, Italy; 39 ‐ Center for Basic and Clinical Immunology Research (CISI), WAO Center of Excellence, University of Naples Federico II Naples Italy
Rheumatology Unit, Department of Medicine, Central Hospital of Bolzano Bolzano Italy
Rheumatology and Immunology Unit, Internal Medicine Department Mansoura University Mansoura Egypt
Department of Internal Medicine, Faculty of Medicine Horus University New Damietta Egypt
Department of Clinical Sciences and Community Health, Research Center for Adult and Pediatric Rheumatic Diseases University of Milan Milan Italy
Academic Rheumatology Centre, Ospedale Mauriziano ‐ Dipartimento Scienze Cliniche e Biologiche, Università degli Studi di Torino Turin Italy
UOC di Reumatologia, Azienda Ospedaliera San Camillo Forlanini Roma Italy
Department of Biomedical and Clinical Sciences Luigi Sacco, Luigi Sacco Hospital University of Milan Milan Italy
Pediatric Unit, Fatebenefratelli Hospital Milan Italy
Joint Academic Rheumatology Program, First Department of Propaedeutic and Internal Medicine National and Kapodistrian University of Athens, Mikras Asias Street 75 Goudi Athens 11527 Greece
Division of Rheumatology, Department of Internal Medicine, School of Medicine Manisa Celal Bayar University Manisa Turkey
Rheumatology Unit, Department of Clinical Medicine and Surgery University of Naples Federico II Naples Italy
Rheumatic and Systemic Autoimmune Diseases Unit, Department of Interdisciplinary Medicine (DIM) University of Bari Medical School Italy
Rheumatology Unit, Department of Clinical and Experimental Medicine University of Messina Italy
Rheumatology Section, Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties University Hospital P. Giaccone Palermo Italy

We aimed to evaluate the clinical usefulness of the systemic score in the prediction of life-threatening evolution in Still disease. We also aimed to assess the clinical relevance of each component of the systemic score in predicting life-threatening evolution and to derive patient subsets accordingly.

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