Monarch Disease Ontology term MONDO_0100130 (adult acute respiratory distress syndrome) is a very severe form of acute pulmonary failure secondary to capillary permeability impairment. The symptoms include dyspnea, hypotension and multivisceral failure. The disease is characterized by bilateral pulmonary infiltrates and severe hypoxemia due to increased alveolar-capillary permeability. The severity depends on the degree of alveolar epithelial injury, with a mortality rate of 30-50%. Also known as: adult ARDS, adult RDS, adult respiratory distress syndrome, adult respiratory distress syndrome, ARDS, respiratory distress syndrome, adult.