How is the course of ASD?

▪ Self-limiting or monophasic pattern (single disease episode, achieve complete remission within one year) ▪ Intermittent or polycyclic systemic pattern (recurrent disease flares with systemic symptoms +/- articular symptoms, complete remission of symptoms between flares) ▪ Chronic articular pattern (persistent active disease with predominantly articular symptoms, Patients may have severe, destructive arthritis)