Top Tweets for #AOSD
Window of opportunity in stills disease is early. With IL1 / IL6 agents
#sJIA and #AOSD are the same disease. - may need a standard new crieteria
IL18 measuremnet should be encouraged.
@RheumNow #EULAR2026 plenary
Transitioning from pediatrics to adult rheumatology for patients with autoinflammatory disease such as #AOSD should be done with administrative support and the right hand off.
@RheumNow #EULAR2026 plenary talk
🚨 Persistent fever + arthritis + rash + high ferritin?
Consider Adult-Onset Still’s Disease.
Key clues:
🔥 Quotidian fever
🌸 Evanescent salmon-pink rash
🦴 Arthritis
🧪 Markedly elevated ferritin
❌ ANA/RF often negative
💡 Ferritin is a clue, not the diagnosis.
#AOSD #Rheumatology #MedTwitter @docakx @IhabFathiSulima
🧵 Tweet 1:
🔥 High spiking fevers.
🩸 Sky-high ferritin.
🌸 A fleeting salmon-pink rash.
A diagnostic puzzle every rheumatologist must know:
Adult-Onset Still’s Disease (AOSD) 👇 @IhabFathiSulima @DrAkhilX @CelestinoGutirr @RACC_UK @RheumNow
#Rheumatology #MedTwitter
5 clues.
1 systemic inflammatory disease. 👀
• Quotidian fevers
• Evanescent salmon rash
• Arthritis
• Ferritin through the roof
• Neutrophilic leukocytosis
What’s the diagnosis?
#MedTwitter #Rheumatology #AOSD @docakx @IhabFathiSulima @DocPriyamMD @DrNikhilMD @Drkhenaizan
@Dr_Shiv_kumar_ @docakx @IhabFathiSulima 🧠 Answer: B — NSAIDs ± steroids
Clues: fever + salmon rash + ferritin 12,000 + ANA/RF negative → Adult-onset Still’s disease
Initial management = NSAIDs ± steroids
MTX/biologics → for refractory disease
#Rheumatology #AOSD #MedEd
🧠 Rheumatology MCQ — Clinical Trap
Fever + arthralgia + salmon rash
Ferritin 12,000
ANA/RF negative
Best initial treatment?
A MTX
B NSAIDs ± steroids
C Rituximab
D Cyclophosphamide
#Rheumatology #AOSD #MedEd @docakx @IhabFathiSulima
Why do pts with #Still’s #AOSD
Get hospitalized?
#Sepsis
1827 unweighted & 9135 Weighted #US #hospitalizations
Worse in
men
Black
Medicaid
But is it truly #infection or Still’s flare or both?
Abst#0163
ACR25 @RheumNow @rheumacr
#ACRBest as largest N ever!
Systemic rheumatic diseases often start with fever — but the pattern of clues tells the diagnosis.
#SLE 🔹 serositis, cytopenias
#AOSD 🔹 quotidian fever, ↑ ferritin
#Vasculitis 🔹 multisystem involvement
#Autoinflammatory 🔹 periodic fevers, family history
#Rheumatology #MedTwitter #IMResidency @DrAkhilX @IhabFathiSulima @CelestinoGutirr
Tweet 6:
📌 Step 5: Rheumatology spotlight
•SLE: fever + serositis + cytopenias.
•AOSD: quotidian fever, rash, ↑ ferritin.
•Vasculitis: fever + multisystem clues.
•Autoinflammatory syndromes: periodic fevers, family history.
🔥 Adult-Onset Still’s Disease (AOSD): Yamaguchi Criteria
Diagnose AOSD with confidence using this high-yield clinical tool.
Primary 🔴 + Secondary 🟠 – Know the 5-point rule!
👇 Infographic
#RheumTwitter #AOSD #MedEd @IhabFathiSulima
10/
🔁 Retweet if you’ve ever caught MAS just in time — or wished you had.
🩺 Follow @Rheumat_Aravind for more practical, real-world autoimmune medicine threads.
#MAS #HLH #SLE #AOSD #RheumReady
Repots:
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📍UP Diliman
#TheGreatUPRun
#RunRio
#AOSD
#CHK
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