Comparative study of 6 types of criteria in adult Still's disease.

作者：Catherine Masson, Xavier Le Loët, Frédéric Lioté, Jean‐Jacques Dubost, Marie‐Christophe Boissier, L Perroux-Goumy, C Brégeon, M Audran · 发表于：PubMed · 年份：1996 · 被引用次数：169 · 研究领域：Autoimmune and Inflammatory Disorders Research、Kawasaki Disease and Coronary Complications、Eosinophilic Esophagitis

OBJECTIVE: To compare the sensitivity of 6 sets of criteria proposed for adult Still's disease in published papers in a well defined patient population. METHODS: For inclusion we required a diagnosis of adult Still's disease established by a senior internist or senior rheumatologist. Sensitivity was evaluated in 65 new cases of adult Still's disease from a multicenter study based on signs and symptoms (1) in the first 6 months of illness, (2) in the same period in patients followed more than one year (52 patients), and (3) at any time in patients followed more than one year. RESULTS: The Yamaguchi criteria are most sensitive (93.5%), followed by those of Calabro and Londino. Medsger et al (80.6%), Kahn (69.3%), Reginato (55.2%), and Goldman (43.7%). Sensitivity was high even from the first 6 months, except for the 2 less sensitive criteria. CONCLUSION: Awareness of these discrepancies in adult Still's disease criteria are crucial to ensure comparability of different series of this condition.