The american rheumatism association 1987 revised criteria for the classification of rheumatoid arthritis

Wiley - Tập 31 Số 3 - Trang 315-324 - 1988
Frank C. Arnett1,2, Steven M. Edworthy3,1, D. Blöch1,4, Dennis J. McShane5,1, James F. Fries1,6, Norman S. Cooper1,7, L. A. Healey1,8, Steven N. Kaplan1,9, Matthew H. Liang10,1, Harvinder S. Luthra11,1, Thomas A. Medsger1,12, Donald M. Mitchell1,13, David H. Neustadt14,1, Robert S. Pinals1,15, Jane G. Schaller1,16, John T. Sharp1,17, Ronald L. Wilder1,18, Gene G. Hunder1,19
1From the Rheumatoid Arthritis Criteria Subcommittee of the Diagnostic and Therapeutic Criteria Committee of the American Rheumatism Association.
2Professor of Internal Medicine, The University of Texas Health Science Center at Houston
3Fellow of Immunology, Stanford University School of Medicine, Stanford, CA
4Senior Research Associate of Biostatistics in Immunology, Stanford University School of Medicine
5Assistant Professor of Immunology, Stanford University School of Medicine
6James F. Fries, MD: Associate Professor of Medicine, Stanford University School of Medicine
7Professor of Pathology, New York University School of Medicine, New York, NY
8Virginia Mason Clinic, Seattle, WA
9Professor of Medicine, Brown University Program in Medicine, Providence, RI
10Associate Professor of Medicine, Harvard Medical School, Boston, MA
11Associate Professor of Medicine, Mayo Medical School and Clinic, Rochester, MN
12Professor of Medicine, University of Pittsburgh, Pittsburgh, PA
13Professor of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
14Clinical Professor of Medicine, University of Louisville School of Medicine, Louisville, KY
15Professor of Medicine, UMDNJ-Robert Wood Johnson Medical School, Newark, NJ, and The Medical Center at Princeton, Princeton, NJ
16Professor of Pediatrics, Tufts-New England Medical Center, Boston, MA
17Staff Physician, Tifton Medical Clinic, Tifton, GA
18Senior Investigator, National Institute of Arthritis and Musculoskeletal and Skin Diseases
19Professor of Medicine, Mayo Medical School and Clinic.

Tóm tắt

AbstractThe revised criteria for the classification of rheumatoid arthritis (RA) were formulated from a computerized analysis of 262 contemporary, consecutively studied patients with RA and 262 control subjects with rheumatic diseases other than RA (non‐RA). The new criteria are as follows: 1) morning stiffness in and around joints lasting at least 1 hour before maximal improvement; 2) soft tissue swelling (arthritis) of 3 or more joint areas observed by a physician; 3) swelling (arthritis) of the proximal interphalangeal, metacarpophalangeal, or wrist joints; 4) symmetric swelling (arthritis); 5) rheumatoid nodules; 6) the presence of rheumatoid factor; and 7) radiographic erosions and/or periarticular osteopenia in hand and/or wrist joints. Criteria 1 through 4 must have been present for at least 6 weeks. Rheumatoid arthritis is defined by the presence of 4 or more criteria, and no further qualifications (classic, definite, or probable) or list of exclusions are required. In addition, a “classification tree” schema is presented which performs equally as well as the traditional (4 of 7) format. The new criteria demonstrated 91–94% sensitivity and 89% specificity for RA when compared with non‐RA rheumatic disease control subjects.

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Tài liệu tham khảo

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Wiley

Tập 31 Số 3

315-324

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