laporan tahunan hospital selayang.indd - CRC
laporan tahunan hospital selayang.indd - CRC
laporan tahunan hospital selayang.indd - CRC
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18<br />
PRELIMINARY REPORT: APRIL 2009 - AUGUST 2010<br />
National Infl ammatory Arthritis Registry (NIAR)<br />
3. CHARACTERISTICS OF PATIENTS<br />
3.1 NUMBER OF PATIENTS FULFILLING AMERICAN COLLEGE OF RHEUMATOLOGY<br />
(ACR) CRITERIA<br />
The tradi onal defi ni on for Rheumatoid Arthri s has been defi ned as pa ents<br />
fulfi lling 4 or more of the 7 criteria listed in the 1987 ACR criteria (Table 2) (3).<br />
This criteria has been revised in the new ACR-EULAR criteria published in 2010<br />
(4).<br />
Morning s ff ness > 1 hour<br />
≥ 3 joints arthri s<br />
Arthri s in a wrist, MCP or PIP joint<br />
Symmetrical arthri s<br />
Factor<br />
Posi ve rheumatoid factor<br />
Erosions or osteopenia on hand or wrist radiograph<br />
* symptoms present for at least 6 weeks<br />
Table 2: 1987 ACR criteria for Rheumatoid Arthri s<br />
The propor on of pa ents fulfi lling each criterion is shown in Table 3.<br />
ACR criteria % of pa ents fulfi lling criteria<br />
≥ 3 joints arthri s 94.4<br />
Symmetrical arthri s 92.8<br />
Arthri s in a wrist, MCP or PIP joint 70.5<br />
Morning s ff ness > 1 hour 70.5<br />
Posi ve rheumatoid factor 68.5<br />
Erosions or osteopaenia on hand or<br />
wrist radiograph<br />
41.0<br />
Rheumatoid factor 6.1<br />
Table 3: Percentage of pa ents fulfi lling each ACR criteria
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