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 âDefinite Rheumatoid Arthritis,â and the new group is to be called âClassical Rheumatoid Arthritis.â 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
Arthritis & Rheumatology – Wiley
Published: Feb 1, 1959
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