MTP

MCP
PIP
DIP I CMC
A. Joint involvement (clinical
synovitis, that could be
conrmed by imaging)
1 large joint................................0
2-10 large joints.........................1
1-3 small joints...........................2
4-10 small joints.........................3
>10 joints (at least 1 small)........5
C. Acute-phase reactants
CRP and ESR normal...............0
CRP or ESR abnormal...............1
B. Serology
RF and anti-CCP normal ........0
RF or anti-CCP ! 3ULN..........2
RF or anti-CCP > 3ULN..........3
D. Duration of symptoms
< 6 week.....................................0
" 6 week.....................................1
Total score:
Denitive RA....................... " 6

large joint, small joint,

excluded joint
RF-rheumatoid factor, anti-CCP - anti cyclic citrulinated peptide, CRP-C-
reactive protein,ESR- erythrocyte sedimentation rate, ULN- upper limit of
normal, CMC-caprometacarpeal, MCP-metacarpophalangeal, PIP-proximal
interphalangeal, DIP-distal interphalangeal,MTP-metatarsophalangeal.
Target:
1. At least 1 joint with denitive clinical synovitis
2. With synovitis not better explaned by another
disease.
2010 ACR/EULAR RHEUMATOID ARTHRITIS
CLASSIFICATION CRITERIA
Picture 1. Hommunculus can be used for 2010 ACR/EULAR Rheumatoid Arthritis
Classication Criteria.