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ANN RHEUM DIS:2010 ACR/EULAR类风湿关节炎分类标准中典型类风湿关节炎侵蚀的作用

2017-08-11 xiangting MedSci原创

少数早期关节炎患者仅基于侵蚀标准被归类为RA。

这项研究旨在探讨在一个早期关节炎队列中,根据2010年美国风湿病学会/ EULAR RA分类标准(2010 RA标准),明确欧洲抗风湿病联盟(EULAR)对侵蚀性疾病(侵蚀标准)的定义是如何导致被分类为类风湿性关节炎(RA)的患者数量的。

纳入来自挪威超早期关节炎观察性研究关节肿胀≤16周、临床诊断RA或未分化关节炎、有手足影像学的患者。根据2010年RA标准的EULAR定义,确定了侵蚀性疾病。根据基线和随访期间的侵蚀标准计算了被列为RA的多余患者数量。

在289例患者中,120例(41.5%)符合2010年RA标准,15例(5.2%)仅符合基线侵蚀标准。118例患者在2年内进行了影像学随访,其中6.8%符合2010年RA标准,只有1例患者在随访期间单独符合侵蚀标准。

少数早期关节炎患者仅基于侵蚀标准被归类为RA,而几乎全部进行RA评估的患者在基线时也是如此。

原始出处:

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    2017-08-13 lmm397
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    2017-08-13 10518094zz
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    2017-08-13 muzishouyi
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