THE VALUE OF THE ACR 1987 CRITERIA IN VERY EARLY RHEUMATOID-ARTHRITIS
THE VALUE OF THE ACR 1987 CRITERIA IN VERY EARLY RHEUMATOID-ARTHRITIS
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DOI：
10.3109/03009749509095163
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发表时间：
1995-01-01
影响因子：
2.1
通讯作者：
LEHTINEN, KES
中科院分区：
文献类型：
--
作者：
KAARELA, K;KAUPPI, MJ;LEHTINEN, KES
我们对121例新发（小于或等于6个月）类风湿关节炎（RA）患者、68例反应性关节炎（ReA）患者、19例强直性脊柱炎（AS）患者和13例银屑病关节炎（PsA）患者的ACR 1987修订标准的敏感性和特异性进行了评估。各单项指标的敏感性为8.3 ~ 90.9%，特异性为52.0 ~ 100%。4项指标的敏感性为83.5%，特异性为86.0%。在ReA、AS和PsA中，分别有11.8%、5.3%和38.5%的患者满足4个标准。因此，在RA开始时，83%的患者可以通过ACR 1987标准正确诊断，其余17%在发病时患有血清阳性和/或糜烂性关节炎。讨论了放射学ACR标准的适用性。
We assessed the sensitivity and specificity of the ACR 1987 revised criteria for rheumatoid arthritis (RA) in 121 patients with recent-onset (less than or equal to 6 months) RA, 68 with reactive arthritis (ReA), 19 with ankylosing spondylitis (AS), and 13 with psoriatic arthritis (PsA). The sensitivity of each single criterion ranged 8.3-90.9% and specificity 52.0-100%. The sensitivity of four fulfilled criteria was 83.5% and specificity 86.0%. In ReA 11.8%, AS 5.3%, and PsA 38.5% of patients fulfilled four criteria respectively. Thus at the beginning of RA, 83% of patients could be diagnosed correctly by using the ACR 1987 criteria, and the remaining 17% had seropositive and/or erosive arthritis at the onset. The suitability of the radiographic ACR criteria is discussed.