Adult Onset Still's Disease | DrBurke

Adult Onset Still’s Disease

Adult Onset Still’s Disease (AODS) is a rare type of systemic inflammatory disease that Dr. Burke treats. It’s clinical manifestations share close similarities with many other systemic inflammatory diseases as well as autoimmune conditions, like arthritis. Orthopedic doctors sometimes refer to it as the adult variant of Juvenile Idiopathic Arthritis because it is present with similar symptoms as AODS.

Causes of AODS

Firstly, the main cause of AODS is unknown to all orthopedic physicians. Previous retrospective studies associate Adult Onset Still’s Disease with former infections that have a viral or bacterial origin. AODS has two age peaks for patients. The first age peak is between 15 and 25-years-old. The second peak occurs between 25 and 45-years-old.

Symptoms of AODS

AODS is typically a benign, self-limiting condition. This means people suffering from AODS are continuing day-to-day activities with no interruption, unlike arthritis. In rare situations, some people have flare ups of AODS requiring urgent orthopedic care.
An AODS diagnosis from Dr. Burke Orthopedics has three main symptoms. These Adult Onset Still’s Disease symptoms include:

  • Spiking fevers
  • Joint pain or joint inflammation
  • Skin rashes that are pink or red

At first, patients feel rising body temperatures with muscle pain. A fever even spikes up toward the end of the day. These symptoms seem like the flue and the joint pain seems like osteoarthritis. However, some people have two fever peaks in a single day. Their temperature rises as high as 104°F. Sore throat, cough and swelling around the neck is also common with Adult Onset Still’s Disease.
The most painful joints include the wrist and the knee joints, bilaterally like rheumatoid arthritis. Other joints in pain include the elbow joints, shoulder joints and ankle joints. The joints suffer from chronic inflammation such as morning stiffness and limited mobility.
Other symptoms are stomach pain with a swollen liver and spleen. Patients have overall fatigue during the day. Persisting joint stiffness, difficulty breathing and chest pain are dangerous symptoms of AODS that need Dr. Burke’s attention. Contact Dr. Burke Orthopedics for a certified orthopedic surgeon, that is ready to help you with AODS pain.

Treatment of AODS

Adult Onset Still’s Disease is a self-limiting disease. So, with prescription medication, AODS resolves without further complications. Dr. Burke recommends three major treatment courses of AODS:

  • Non-steroidal Inflammatory drugs (NSAIDs) such as Aspirin, Ibuprofen, naproxen etc.
  • Steroid injections such as prednisolone
  • Disease modifying anti-rheumatic drugs (DMARDs) like hydroxychloroquine, methotrexate, cyclophosphamide, azathioprine etc.

Treatment with Dr. Burke Orthopedics heals the worst symptoms while reversing the inflammation in the joints. Dr. Burke’s treatment for AODS prevents the disease from progressing, but it also welcomes remission. With Dr. Burke’s vast experience in treating Adult Onset Still’s Disease and other types of arthritis, you can trust his opinions and diagnosis. Dr. Burke Orthopedics has clinical success in treatment plans that heal Adult Onset Still’s Disease and other forms of arthritis.