raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:829

Adult-onset Still disease

Synonyms: AOSD · Wissler-Fanconi syndrome

Type
Disease
Group
Disorder
Inheritance
Not applicable
Age of onset
Adult, Elderly
Status
active

A rare inflammatory multisystem disorder characterized clinically by four cardinal signs: fever of unknown origin, arthralgia or arthritis, hyperleucocytosis, and typical skin rash.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAdult-onset Still diseaseAOSD · Wissler-Fanconi syndrome
frMaladie de Still de l'adulteAOSD · MSA · Syndrome de Wissler-Fanconi
deStill-Syndrom des ErwachsenenAOSD · Wissler-Fanconi-Syndrom
esEnfermedad de Still del adultoAOSD · Síndrome de Wissler-Fanconi
itMalattia di Still a esordio nell'adultoAOSD · Sindrome di Wissler-Fanconi
nlZiekte van Still met aanvang op volwassen leeftijdAOSD · Syndroom van Wissler-Fanconi
ptDoença Still com início na idade adultaSíndrome Wissler-Fanconi
plChoroba Stilla z początkiem w wieku dorosłymAOSD · Zespół Wisslera i Fanconiego
csStillova nemoc s nástupem v dospělém věkuAOSD · Wisslerův-Fanconiho syndrom · Wissler-Fanconiho syndrom
ukХвороба Стілла, що починається у дорослихAOSD · Синдром Вісслера-Фанконі
zh成人Still病Wissler-Fanconi综合征
trErişkin başlangıçlı Still hastalığıAOSD · Wissler-Fanconi sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
ICD-10M06.1Especificvalidated
ICD-11FA23Especificvalidated
MONDO0019355Evalidated
MeSHD016706Evalidated
UMLSC0085253Evalidated
GARD436Evalidated
MedDRA10064056Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (2):

No children.

4

Genes

0 direct

Orphanet records no gene directly on this code.

5

Prevalence and incidence

8 records
TypeClassValueAreaQualificationValidationSource
Annual incidence1-9 / 1 000 0000.16 / 100 000FranceValue and classValidated7668903[PMID]
Annual incidence1-9 / 1 000 0000.13 / 100 000JapanValue and classValidated9465547[PMID]
Point prevalence1-9 / 100 0003.9 / 100 000JapanValue and classValidated25382730[PMID]
Annual incidence1-9 / 1 000 0000.4 / 100 000NorwayValue and classValidated16467042[PMID]
Point prevalence1-9 / 100 0006.9 / 100 000NorwayValue and classValidated16467042[PMID]
Point prevalence1-9 / 100 000—EuropeClass onlyValidatedORPHANET_16467042[PMID]
Annual incidence1-9 / 1 000 0000.62 / 100 000TurkeyValue and classValidated26320744[PMID]
Point prevalence1-9 / 100 0006.77 / 100 000TurkeyValue and classValidated26320744[PMID]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

59 annotations · validated 2024-06-14
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0002829ArthralgiaDiagnostic criterion
HP:0005059Arthralgia/arthritisDiagnostic criterion
HP:0001369ArthritisDiagnostic criterion
HP:0011227Elevated circulating C-reactive protein concentration
HP:0003565Elevated erythrocyte sedimentation rate
HP:0010783ErythemaDiagnostic criterion
HP:0012378Fatigue
HP:0001945FeverDiagnostic criterion
HP:0003281Increased circulating ferritin concentration
HP:0001974Increased total leukocyte countDiagnostic criterion
HP:0001386Joint swelling
HP:0011897NeutrophiliaDiagnostic criterion
HP:0000989Pruritus
HP:0000988Skin rashDiagnostic criterion
Frequent (79-30%)
HP:0002027Abdominal pain
HP:0001903Anemia
HP:0025406Asthenia
HP:0003155Elevated circulating alkaline phosphatase concentration
HP:0002910Elevated circulating hepatic transaminase concentrationDiagnostic criterion
HP:0008940Generalized lymphadenopathy
HP:0002240HepatomegalyDiagnostic criterion
HP:6000933Koebner Phenomenon
HP:0002716LymphadenopathyDiagnostic criterion
HP:0040186Maculopapular exanthema
HP:0003326Myalgia
HP:0033050PharyngalgiaDiagnostic criterion
HP:0025439PharyngitisDiagnostic criterion
HP:0002202Pleural effusion
HP:0002102Pleuritis
HP:0001744SplenomegalyDiagnostic criterion
HP:0005828Transient pulmonary infiltrates
HP:0001824Weight loss
Occasional (29-5%)
HP:0003119Abnormal circulating lipid concentration
HP:0002039Anorexia
HP:0003493Antinuclear antibody positivity
HP:0005528Bone marrow hypocellularity
HP:0100773Cartilage destruction
HP:0012544Elevated circulating aldolase concentration
HP:0001298Encephalopathy
HP:0012156Hemophagocytosis
HP:0012115Hepatitis
HP:0006515Interstitial pneumonitis
HP:0002840Lymphadenitis
HP:0012819Myocarditis
HP:0002018Nausea
HP:0001733Pancreatitis
HP:0001701Pericarditis
HP:0000093Proteinuria
HP:0002098Respiratory distress
HP:0002923Rheumatoid factor positive
Very rare (<4-1%)
HP:0011034Amyloidosis
HP:0000509Conjunctivitis
HP:0005521Disseminated intravascular coagulation
HP:0100534Episcleritis
HP:0033430Non-infectious meningitis
HP:0000554Uveitis
Excluded (0%)
HP:0002665LymphomaDiagnostic criterion
HP:0100806SepsisDiagnostic criterion
HP:0031693Severe Epstein Barr virus infectionDiagnostic criterion

Run the differential on the 12 obligate / very frequent terms

Annotation source: 34175791[PMID]_30855928[PMID]_19028363[PMID]

7

Sources for this card