ACR-EULAR Gout Classification Criteria Calculator
At least one episode of swelling, pain, or tenderness in a peripheral joint or bursa |
|
Presence of MSU crystals in a symptomatic joint or bursa (i.e., in synovial fluid) or tophus |
|
Pattern of joint/bursa involvement during symptomatic episode(s) ever |
|
Characteristics of symptomatic episode(s) ever: 1).Erythema overlying affected joint (patient-reported or physician-observed) 2).Can’t bear touch or pressure to affected joint 3).Great difficulty with walking or inability to use affected joint |
|
Time-course of episode(s) ever: Presence (ever) of ≥2, irrespective of anti-inflammatory treatment: 1).Time to maximal pain <24 hours 2).Resolution of symptoms in ≤14 days 3).Complete resolution (to baseline level) between symptomatic episodes |
|
Clinical evidence of tophus: Draining or chalk-like subcutaneous nodule
under transparseInt skin, often with overlying vascularity, located in typical
locations: joints, ears, olecranon bursae, finger pads, tendons (e.g., Achilles). |
|
Serum urate: Measured by uricase method. Ideally should be scored at a time
when the patient was not taking urate-lowering treatment and patient was
beyond 4 weeks of the start of an episode (i.e., during intercritical period); if
practicable, retest under those conditions. The highest value irrespective of
timing should be scored. |
|
Synovial fluid analysis of a symptomatic (ever) joint or bursa:** Should be assessed by a trained observer. |
|
Imaging evidence of urate deposition in symptomatic (ever) jointor bursa:
Ultrasound evidence of double-contour sign¶ or DECT demonstrating
urate deposition§. |
|
Imaging evidence of gout-related joint damage:
Conventional
radiography of the hands and/or feet demonstrate at least one erosion.
‡‡ |
|
Result :
Please fill out required fields.
|
|
References
- Arthritis & Rheumatology 2015;10:2557-2568 doi:10.1002/art.39254
- Annals of the Rheumatic Diseases 2015;74:1789-1798
doi:10.1136/annrheumdis-2015-208237
- Aggarwal R., et al. AC&R 2015. doi:10.1002/acr.22583
|
Legal Notices and Disclaimer
All Information contained in and produced by the Pediatric Oncall system is provided for educational purposes only. This information should not be used for the diagnosis or treatment of any health problem or disease. This information is not intended to replace clinical judgement or guide individual patient care in any manner.
|
Copyright © 2001 - 2021 Pediatric Oncall All Rights Reserved. |