Critérios de classificação

Question 1

Síndrome de Sjögren - ACR 2012

Answer 1

2/3 seguintes

1. Positive serum anti-SSA/Ro and/or anti-SSB/La or (positive rheumatoid factor and ANA titer >=1:320)
2. Labial salivary gland biopsy exhibiting focal lymphocytic sialadenitis with a focus score >= 1 focus/4 mm
3. Keratoconjunctivitis sicca with ocular staining score >= 3 (assuming that individual is not currently using daily eye drops
   for glaucoma and has not had corneal surgery or cosmetic eyelid surgery in the last 5 years)

Investigar:

1. History of head and neck radiation treatment
2. Hepatitis C infection
3. Acquired immunodeficiency syndrome
4. Sarcoidosis
5. Amyloidosis
6. Graft versus host disease
7. IgG4-related disease

Question 2

Critérios de LES - SLICC 2012

Answer 2

Clinical Criteria

1. Acute cutaneous lupus
2. Chronic cutaneous lupus
3. Oral ulcers: palate
4. Nonscarring alopecia (diffuse thinning or hair fragility with visible broken hairs)
5. Synovitis involving two or more joints, characterized by swelling or effusion OR tenderness in 2 or more joints and thirty minutes or more of morning stiffness.
6. Serositis
7. Renal
8. Neurologic
9. Hemolytic anemia
10. Leukopenia (< 4000/mm3 at least once)
11. Thrombocytopenia (<100,000/mm3) at least once

Immunological Criteria
1. ANA above laboratory reference range
2. Anti-dsDNA above laboratory reference range, except ELISA: twice above laboratory
reference range
3. Anti-Sm
4. Antiphospholipid antibody: any of the following
5. Low complement
6. Direct Coombs test in the absence of hemolytic anemia

Question 3

índice de dor generalizada (IDG): Critérios fibromialgia 2016

Answer 3

1. índice de dor generalizada (IDG)

> 0-19 pontos de 5 regiões na última semana
> Região 1 superior esquerda
> Região 2 superior direita
> Região 3 inferior esquerda
> Região 4 inferior direita
> Região 5 axial

Question 4

Escala de severidade dos sintomas (ESS): Critérios fibromialgia 2016

Answer 4

2. Escala de severidade dos sintomas (ESS)
   » última semana: fadiga, sintomas cognitivos, sono não reparador

> > últimos 6 meses: dor ou colicas no abdome inferior, depressão, dor de cabeça

Question 5

Classificação fibromialgia 2016

Answer 5

Classificado como fibromialgia se:

1. IDG>= 7 + ESS >=5 OU IDG 4-6+ ESS >=9

+

2. Dor generalizada: dor em pelo menos 4 de 5 regiões (mandibula, torax e dor abdominal não estão incluídos na definição)

+

3. Sintomas presentes a pelo menos 3 meses