How to say "acute" in Japanese

Choosing the right word
  • 急性きゅうせいCommon
    no-adjectiveThe medical sense: an acute illness or condition, as opposed to a chronic one. For 'acute' in medical contexts, where it describes a disease or its course, this is the word you want.
    「どうだった?」「急性きゅうせい虫垂炎ちゅうすいえんだって」↗
    "How did it go?" "They said it was acute appendicitis."
  • 切実せつじつJLPT N1approx.Common
    na-adjective, nounCovers 'acute' describing a keenly felt need, wish, or emotion — an acute need or longing. Its core meanings are 'earnest' and 'sincere', so the nuance is pressing and heartfelt rather than painful.
  • 鋭利えいりCommon
    na-adjective, nounReally means physically sharp — a keen blade, edge, or point. For most senses of 'acute' this is not the word you want; it is the choice only when 'acute' simply means 'sharp'.
    鋭するどい舌したは絶たえず用もちいることによって、ますます鋭利えいりになる片刃かたはの道具どうぐである。↗
    A sharp tongue is the only edged tool that grows keener with constant use.
  • 鋭敏えいびんCommon
    na-adjective, nounCovers 'acute' describing the senses and perception: acute hearing, an acute sense of smell, acute powers of observation. The nuance is keenness together with sensitivity — quickly and finely perceiving things.
    目めが見みえない人ひとの聴力ちょうりょくは鋭敏えいびんな場合ばあいが多おおい。↗
    A blind person's hearing is often very acute.
  • 痛切つうせつJLPT N1approx.Common
    na-adjective, nounCovers 'acute' describing emotions or awareness felt keenly and painfully — acute regret or an acute sense of loss. The nuance is a feeling that cuts like pain; compare 切実 for earnest, pressing needs.
    彼女かのじょは悲かなしさがあまりにも痛切つうせつで涙なみだも出でなかった。↗
    Her grief was too acute for tears.

Use 急性 for acute illnesses, 鋭利 for literal sharpness of blades, 鋭敏 for acute senses and perception, and 切実 or 痛切 for keenly felt feelings — 切実 for earnest, pressing needs, 痛切 for painfully felt emotions.

Usage comparisons are AI-assisted and cross-checked by multiple models; for study reference only

Japanese equivalents
  • 急性きゅうせいacute (illness)
  • 切実せつじつearnest
  • 鋭利えいりsharp
  • 鋭敏えいびんsharp (eyes, ears, etc.)
  • 痛切つうせつkeen
  • 先鋭せんえいradical
  • 深刻しんこくserious
  • 切せつeager
  • 揚音ようおんacute (accent, etc.)
  • 鋭形えいけいacute (of the shape of a leaf tip)
  • 鋭頭えいとうacute (of the shape of a leaf)
  • 鋭アクセントえいアクセントacute accent (diacritic)
  • 鋭いするどいsharp (pain, tone, etc.)
See also

JLPT vocabulary levels are community estimates, not official (no official lists have been published since the 2010 revision).

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