1958 Revision of diagnostic criteria for rheumatoid arthritis

1958 Revision of diagnostic criteria for rheumatoid arthritis By A COMMITTEE OF THE AMERICANRHEUMATISM ASSOCIATION HE CRITERIA proposed for diagnostic classification of patients with rheumatoid arthritis have been in use for two years.l During this period many comments have been received, the majority of which have been favorable. There have been, however, criticisms and suggestions which have formed the basis of this revision of the original criteria. It has become apparent that the criteria are not quite rigorous enough. There has been rather general agreement that in addition to the three present groups there should be a group with even more strict criteria. In such a group the diagnosis of rheumatoid arthritis will be as certain as is possible with our present knowledge about and concept of the disease. The requirements for classification in this group are seven of the 1 criteria listed under 1 the present heading of “Definite Rheumatoid Arthritis,” and the new group is to be called “Classical Rheumatoid Arthritis.” The significance of the other groups will remain unchanged. In the definite group there should be almost no question that every patient has rheumatoid arthritis, but in the new group more evidence for the diagnosis will usually be available in the form of http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Arthritis & Rheumatology Wiley

1958 Revision of diagnostic criteria for rheumatoid arthritis

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Publisher
Wiley
Copyright
Copyright © 1959 American College of Rheumatology
ISSN
0004-3591
eISSN
1529-0131
D.O.I.
10.1002/1529-0131(195902)2:1<16::AID-ART1780020104>3.0.CO;2-9
Publisher site
See Article on Publisher Site

Abstract

By A COMMITTEE OF THE AMERICANRHEUMATISM ASSOCIATION HE CRITERIA proposed for diagnostic classification of patients with rheumatoid arthritis have been in use for two years.l During this period many comments have been received, the majority of which have been favorable. There have been, however, criticisms and suggestions which have formed the basis of this revision of the original criteria. It has become apparent that the criteria are not quite rigorous enough. There has been rather general agreement that in addition to the three present groups there should be a group with even more strict criteria. In such a group the diagnosis of rheumatoid arthritis will be as certain as is possible with our present knowledge about and concept of the disease. The requirements for classification in this group are seven of the 1 criteria listed under 1 the present heading of “Definite Rheumatoid Arthritis,” and the new group is to be called “Classical Rheumatoid Arthritis.” The significance of the other groups will remain unchanged. In the definite group there should be almost no question that every patient has rheumatoid arthritis, but in the new group more evidence for the diagnosis will usually be available in the form of

Journal

Arthritis & RheumatologyWiley

Published: Feb 1, 1959

References

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