Comments to the paper «Diagnosis of spondyloarthritis: Should we need new criteria?»
https://doi.org/10.14412/1996-7012-2015-3-80-82
Abstract
The paper debates over the classification of spondyloarthritis (SpA). The paper «Diagnosis of spondyloarthritis: Should we need new criteria?» published in the journal «Sovremennaya Revmatologiya=Modern Rheumatology Journal» 2015. No. 1 has given occasion to discussion. Of dispute are the paper’s conclusions: «At present most patients with SpA meet ≥2 classification criteria, which gives the chance to state ≥2 nosological entities in the same patient. This demonstrates the need to elaborate diagnostic criteria that can make a clear distinction between different forms of SpA».
The author of this publication touches upon its two interrelated disputable aspects: 1) the specific features of the criteria, which have led to this conclusion and 2) the classification peculiarities, i.e. whether SpA is a single clinical polymorphic disease or a group of a few diseases having a certain common sign.
About the Author
Shandor Fedorovich ErdesRussian Federation
34A, Kashirskoe Shosse, Moscow 115552
References
1. Amor D, Dougados M, Mijiyava M. Criteria of the classification of spondyloarthropathy. Rev Rhum Mal Osteoartic. 1990 Feb;57(2):85–9.
2. Dougados M, Van der Linden S, Juhlin R, at al. The European Spondylarthropathy Study Group: preliminary criteria for the classification of spondylarthropathy. Arthritis Rheum. 1991 Oct;34(10):1218–27.
3. Rudwaleit M, van der Heijde D, Landewe R, et al. The development of Assessment of SpondyloArthritis international Society classification criteria for axial spondyloarthritis (Part II): validation and final selection. Ann Rheum Dis. 2009 Jun;68(6):777–83. doi: 10.1136/ard.2009.108233. Epub 2009 Mar 17.
4. Rudwaleit M, van der Heijde D, Landewe R, et al. The Assessment of SpondyloArthritis international Society classification criteria for peripheral spondyloarthritis and for spondyloarthritis in general. Ann Rheum Dis. 2011 Jan;70(1):25–31. doi: 10.1136/ard.2010. 133645.Epub 2010 Nov 24.
5. van der Linden S, Valkenburg HA, Cats A. Evaluation of diagnostic criteria for ankylosing spondylitis. A proposal for modification of the New York criteria. Arthritis Rheum. 1984 Apr;27(4):361–8.
6. Эрдес ШФ, Бочкова АГ, Дубинина ТВ и др. Ранняя диагностика анкилозирующего спондилита. Научно-практическая ревматология. 2013;51(4):365–7. [Erdes ShF, Bochkova AG, Dubinina TV, et al. Early diagnosis of ankylosing spondylitis. Nauchno-prakticheskaya revmatologiya = Rheumatology Science and Practice. 2013;51(4):365–7. (In Russ.)]. DOI: 10.14412/1995-4484-2013-1245
7. Taylor W, Gladman D, Helliwell P, et al. Classification criteria for psoriatic arthritis: development of new criteria from a large international study. Arthritis Rheum. 2006 Aug;54(8):2665–73.
Review
For citations:
Erdes SF. Comments to the paper «Diagnosis of spondyloarthritis: Should we need new criteria?». Sovremennaya Revmatologiya=Modern Rheumatology Journal. 2015;9(3):80-82. (In Russ.) https://doi.org/10.14412/1996-7012-2015-3-80-82