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Preliminary criteria for the classification of systemic sclerosis (scleroderma)

✍ Scribed by Dr. Alfonse T. Masi; Subcommittee For Scleroderma Criteria of the American Rheumatism Association Diagnostic; Therapeutic Criteria Committee


Publisher
John Wiley and Sons
Year
1980
Tongue
English
Weight
907 KB
Volume
23
Category
Article
ISSN
0004-3591

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✦ Synopsis


Abstract

A multicenter, ongoing study of early‐diagnosed cases of systemic sclerosis and comparison patients with systemic lupus erythematosus, polymyositis/dermatomyositis, and Raynaud's phenomenon was conducted in order to develop classification criteria for systemic sclerosis. Preliminary criteria are proposed, namely, the finding of either the sole major criterion, i.e.,1) sclerodactyly, 2) digital pitting scars of fingertips or loss of substance of the distal finger pad, and 3) bilateral basilar pulmonary fibrosis. When applied to the case and comparison patients included in this study, these proposed criteria had a 97% sensitivity for definite systemic sclerosis and 98% specificity.


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