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Assessment of skin, joint, tendon and muscle involvement

Åkesson, Anita LU ; Fiori, G; Krieg, T; van den Hoogen, FHJ and Seibold, JR (2003) In Clinical and Experimental Rheumatology 21(3). p.5-8
Abstract
This report makes recommendations for standardized techniques of data gathering and collection regarding: 1) skin involvement 2) joint and tendon involvement, and 3) involvement of the skeletal muscles. The recommendations in this report derive from a critical review of the available literature and group discussion. Committee recommendations are considered appropriate for descriptive clinical investigation, translational studies and as standards for clinical practice. Skin involvement should be assessed using the modified Rodnan skin score. Joint involvement, when symmetric synovitis is present, could be best assessed by the DAS-28 as is utilized in rheumatoid arthritis. Clinical assessment should include a routinized evaluation for the... (More)
This report makes recommendations for standardized techniques of data gathering and collection regarding: 1) skin involvement 2) joint and tendon involvement, and 3) involvement of the skeletal muscles. The recommendations in this report derive from a critical review of the available literature and group discussion. Committee recommendations are considered appropriate for descriptive clinical investigation, translational studies and as standards for clinical practice. Skin involvement should be assessed using the modified Rodnan skin score. Joint involvement, when symmetric synovitis is present, could be best assessed by the DAS-28 as is utilized in rheumatoid arthritis. Clinical assessment should include a routinized evaluation for the presence and number of palpable tendon friction rubs. Muscle involvement should be screened for by performance of the serum creatine phosphokinase assay and assessment of proximal weakness. More specific testing including EMG, magnetic resonance imaging and muscle biopsy should be employed in those patients with clinically significant myopathy only. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
tender rubs, skin score, scleroderma, Rodnan, DAS-28
in
Clinical and Experimental Rheumatology
volume
21
issue
3
pages
5 - 8
publisher
Pacini
external identifiers
  • pmid:12889214
  • wos:000183888300002
  • scopus:0142058067
ISSN
1593-098X
language
English
LU publication?
yes
id
b1772799-e827-460b-9ea2-85b524481ace (old id 307622)
alternative location
http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=Retrieve&db=PubMed&list_uids=12889214&dopt=Abstract
date added to LUP
2007-08-02 10:08:26
date last changed
2018-05-29 10:13:36
@article{b1772799-e827-460b-9ea2-85b524481ace,
  abstract     = {This report makes recommendations for standardized techniques of data gathering and collection regarding: 1) skin involvement 2) joint and tendon involvement, and 3) involvement of the skeletal muscles. The recommendations in this report derive from a critical review of the available literature and group discussion. Committee recommendations are considered appropriate for descriptive clinical investigation, translational studies and as standards for clinical practice. Skin involvement should be assessed using the modified Rodnan skin score. Joint involvement, when symmetric synovitis is present, could be best assessed by the DAS-28 as is utilized in rheumatoid arthritis. Clinical assessment should include a routinized evaluation for the presence and number of palpable tendon friction rubs. Muscle involvement should be screened for by performance of the serum creatine phosphokinase assay and assessment of proximal weakness. More specific testing including EMG, magnetic resonance imaging and muscle biopsy should be employed in those patients with clinically significant myopathy only.},
  author       = {Åkesson, Anita and Fiori, G and Krieg, T and van den Hoogen, FHJ and Seibold, JR},
  issn         = {1593-098X},
  keyword      = {tender rubs,skin score,scleroderma,Rodnan,DAS-28},
  language     = {eng},
  number       = {3},
  pages        = {5--8},
  publisher    = {Pacini},
  series       = {Clinical and Experimental Rheumatology},
  title        = {Assessment of skin, joint, tendon and muscle involvement},
  volume       = {21},
  year         = {2003},
}