Classification criteria for psoriatic arthritis and ankylosing spondylitis/axial spondyloarthritis
Classification criteria for psoriatic arthritis and ankylosing spondylitis/axial spondyloarthritis
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DOI：
10.1016/j.berh.2010.05.007
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发表时间：
2010-10-01
影响因子：
5.2
通讯作者：
Taylor, William J.
中科院分区：
文献类型：
--
作者：
Rudwaleit, Martin;Taylor, William J.
spondyloarthritides的概念(或spondyloarthropathies水疗)由一组相互关联的障碍已经承认自1970年代初以来,欧洲Spondyloarthropathy研究小组(ESSG)标准和阿莫项目开发拥抱整个群温泉新标准最近研发了银屑病关节炎银屑病关节炎的分类(卡斯帕)研究大超过1000的一个病人导致一系列新的验证在强直性脊柱炎中，1984年修订的纽约标准已被广泛应用于临床研究和日常实践，但不适用于疾病早期，因为骶骨炎的特征性影像学征象不可见，但活动性骶骨炎很容易通过磁共振成像（MRI）检测到。这导致了轴向SpA的概念包括有和没有影像学损伤的患者，根据结构化诊断方法的建议，制定了轴向SpA的候选标准，这些标准在国际脊椎关节炎评估协会（ASAS）关于轴向SpA新分类标准的研究中得到了验证，这是一项大型国际前瞻性研究。在这项新标准中，MRI上显示的骶髂炎与x线片上显示的骶髂炎一样重要，因此也可以识别患者CASPAR和ASAS的轴向SpA标准都可能被用作诊断标准(C) 2010 Elsevier Ltd保留所有权利
The concept of spondyloarthritides (or spondyloarthropathies SpAs) that comprises a group of interrelated disorders has been recognised since the early 1970s While the European Spondyloarthropathy Study Group (ESSG) criteria and the Amor item have been developed to embrace the entire group of SpAs new criteria for psoriatic arthritis have been developed recently The Classification of Psoriatic Arthritis(CASPAR) study a large one of more than 1000 patients led to a new set of validated classification criteria for psoriatic arthritis Since their publication in 2006 the CASPAR criteria are widely used in clinical studies In ankylosing spondylitis the 1984 modified New York criteria have been used widely in clinical studies and daily practice but ire not applicable in early disease when the characteristic radiographical signs of sacioiliitis are not visible but active sacroiliitis is readily detectable by magnetic resonance imaging (MRI) This led to the concept of axial SpA that includes patients with and without radiographical damage candidate criteria for axial SpA were developed based on proposals for a structured diagnostic approach These criteria were validated in the Assessment of Spondyloarthritis International Society (ASAS) study on new classification criteria for axial SpA a large international prospective study In this new criteria sacroiliitis showing up on MRI has been given as much weight as sacroiliitis on radiographs thereby also identifying patients with early axial SpA Both the CASPAR and the ASAS criteria for axial SpA are likely to be of use as diagnostic criteria (C) 2010 Elsevier Ltd All rights reserved