INFO - Progression of RA (clinical and radiologic staging)

[Guest guest]

The American College of Rheumatology Classification Criteria for

Determining the Progression of RA

Progression of RA (clinical and radiologic staging)

Stage I (early RA)

No destructive changes observed upon roentgenographic examination

Radiographic evidence of osteoporosis possible

Stage II (moderate progression)

Radiographic evidence of periarticular osteoporosis, with or without

slight subchondral bone destruction

Slight cartilage destruction possible

Joint mobility possibly limited; no joint deformities observed

Adjacent muscle atrophy

Extra-articular soft-tissue lesions (eg, nodules, tenosynovitis) possible

Stage III (severe progression)

Radiographic evidence of cartilage and bone destruction in addition to

periarticular osteoporosis

Joint deformity (eg, subluxation, ulnar deviation, hyperextension)

without fibrous or bony ankylosis

Extensive muscle atrophy

Extra-articular soft-tissue lesions (eg, nodules, tenosynovitis) possible

Stage IV (terminal progression)

Fibrous or bony ankylosis

Criteria of stage III

Reference: Steinbrocker O, et.al.: JAMA 140:659, 1949.

http://emedicine.medscape.com/article/331715-overview

http://www.hopkins-arthritis.org/physician-corner/education/acr/acr.html#prog_rh\

eum

Not an MD

[Guest guest]

Thanks .

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The American College of Rheumatology Classification Criteria for

Determining the Progression of RA

.. . .

[Guest guest]

Can anyone tell me how they tell the difference between early RA and polymyagia

rhuematica?

SueL

>

> The American College of Rheumatology Classification Criteria for

> Determining the Progression of RA

>

> Progression of RA (clinical and radiologic staging)

>

>

>

> Stage I (early RA)

>

> No destructive changes observed upon roentgenographic examination

> Radiographic evidence of osteoporosis possible

>

>

> Stage II (moderate progression)

>

> Radiographic evidence of periarticular osteoporosis, with or without

> slight subchondral bone destruction

> Slight cartilage destruction possible

> Joint mobility possibly limited; no joint deformities observed

> Adjacent muscle atrophy

> Extra-articular soft-tissue lesions (eg, nodules, tenosynovitis) possible

>

>

> Stage III (severe progression)

>

> Radiographic evidence of cartilage and bone destruction in addition to

> periarticular osteoporosis

> Joint deformity (eg, subluxation, ulnar deviation, hyperextension)

> without fibrous or bony ankylosis

> Extensive muscle atrophy

> Extra-articular soft-tissue lesions (eg, nodules, tenosynovitis) possible

>

>

> Stage IV (terminal progression)

>

> Fibrous or bony ankylosis

> Criteria of stage III

>

>

>

>

> Reference: Steinbrocker O, et.al.: JAMA 140:659, 1949.

>

> http://emedicine.medscape.com/article/331715-overview

>

>

http://www.hopkins-arthritis.org/physician-corner/education/acr/acr.html#prog_rh\

eum

>

>

>

>

> Not an MD

>

[Guest guest]

I was initially diagnosed with what my dr called " a classic case of PMR,' but

was called back into the office when my blood test came back and then got a

diagnosis of RA. I flat out asked my doctor whether the positive anti-CCP test

results made him change my diagnosis and he said " yes. " It had nothing to do

with any symptoms or any other test. So, for me, it was 100% the results of the

anti-CCP test. People can have RA and be negative anti-CCP, too.

Janice in GA

>

> Can anyone tell me how they tell the difference between early RA and

polymyagia rhuematica?

> SueL

>

>