Diagnosis of Undifferentiated Spondyloarthropathy

Although no specific criteria are identified, using modified Amor criteria can be helpful.

Inclusion Criteria

Inflammatory back pain 1 point

Unilateral buttock pain 1 point
Alternating buttock pain 2 points
Enthesitis 2 points
Peripheral arthritis 2 points
Dactylitis (sausage digit) 2 points
Acute anterior uveitis 2 points
HLA-B27 –positive or family history of spondyloarthropathy 2 points
Good response to nonsteroidal anti-inflammatory drugs 2 points
Diagnosis of spondyloarthropathy with 6 or more points
 

Exclusion Criteria
Undifferentiated spondyloarthropathy is excluded if any of the following is

·         Diagnosis of specific spondyloarthropathy

·         Sacroiliitis on radiograph = grade 2

·         Precipitating genitourinary/gastrointestinal infection
·         Psoriasis
·         Keratoderma blennorrhagicum
·         Inflammatory bowel disease (Crohn disease or ulcerative colitis)
·         Positive rheumatoid factor
·         Positive antinuclear antibody, titer > 1:80

Criterii de diagnostic in BMTC

1. Serologic
2. Anticorpi anti U1RNP titru>1/1600
3. Clinic: Edem de mana, Artrita/sinovita, Miozita, Sd Raynaud, Acroscleroza
4. Criteriul serologic + 3 criterii clinice