Статья

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

Frank C. ArnettAmerican Rheumatism Association, Atlanta, GA 30329Steven M. EdworthyFellow of Immunology, Stanford University School of Medicine, Stanford, CAD. BlöchFrom the Rheumatoid Arthritis Criteria Subcommittee of the Diagnostic and Therapeutic Criteria Committee of the American Rheumatism AssociationDennis J. McShaneAssistant Professor of Immunology, Stanford University School of MedicineJames F. FriesFrom the Rheumatoid Arthritis Criteria Subcommittee of the Diagnostic and Therapeutic Criteria Committee of the American Rheumatism AssociationNorman S. CooperFrom the Rheumatoid Arthritis Criteria Subcommittee of the Diagnostic and Therapeutic Criteria Committee of the American Rheumatism AssociationLouis A. HealeyFrom the Rheumatoid Arthritis Criteria Subcommittee of the Diagnostic and Therapeutic Criteria Committee of the American Rheumatism AssociationStephen R. KaplanFrom the Rheumatoid Arthritis Criteria Subcommittee of the Diagnostic and Therapeutic Criteria Committee of the American Rheumatism AssociationMatthew H. LiangAssociate Professor of Medicine, Harvard Medical School, Boston, MAHarvinder S. LuthraAssociate Professor of Medicine, Mayo Medical School and Clinic, Rochester, MNThomas A. MedsgerFrom the Rheumatoid Arthritis Criteria Subcommittee of the Diagnostic and Therapeutic Criteria Committee of the American Rheumatism AssociationDonald M. MitchellFrom the Rheumatoid Arthritis Criteria Subcommittee of the Diagnostic and Therapeutic Criteria Committee of the American Rheumatism AssociationDavid H. NeustadtClinical Professor of Medicine, University of Louisville School of Medicine, Louisville, KYRobert S. PinalsFrom the Rheumatoid Arthritis Criteria Subcommittee of the Diagnostic and Therapeutic Criteria Committee of the American Rheumatism AssociationJane G. SchallerFrom the Rheumatoid Arthritis Criteria Subcommittee of the Diagnostic and Therapeutic Criteria Committee of the American Rheumatism AssociationJohn T. SharpFrom the Rheumatoid Arthritis Criteria Subcommittee of the Diagnostic and Therapeutic Criteria Committee of the American Rheumatism AssociationRonald L. WilderFrom the Rheumatoid Arthritis Criteria Subcommittee of the Diagnostic and Therapeutic Criteria Committee of the American Rheumatism AssociationGene G. HunderFrom the Rheumatoid Arthritis Criteria Subcommittee of the Diagnostic and Therapeutic Criteria Committee of the American Rheumatism Association

1988en

ABI

Аннотация

The 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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Идентификаторы

DOI: 10.1002/art.1780310302

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