ACR/EULAR (2010) Classification Criteria For RA

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ACR/EULAR (2010) Classification Criteria for RA

ACR/EULAR (2009) Classification Criteria for Rheumatoid Arthritis

Symptom Duration (as reported by patient) Points


§ < 6 weeks 0
§ > 6 weeks 1
Joint Distribution Points
§ 1 large joint 0
§ 2-10 large joints 1
§ 1-3 small joints (with or without involvement of large joints) 2
§ 4-10 small joints (with or without involvement of large joints) 3
§ > 10 joints (at least 1 small joint) 5
Serology Points
§ RF- and CCP- 0
§ Low RF+ or CCP+ 2
§ High RF+ or CCP+ 3
Acute Phase Reactants Points
§ Normal ESR or CRP 0
§ Abnormal ESR or CRP 1
RF: rheumatoid factor. CCP: anti-citrullinated citric peptide. ESR: erythrocyte sedimentation
rate. CRP: C-reactive protein. Low: < 3 x upper limit of normal (ULN). High: > 3 x ULN

Requirements: patients who have at least 1 swollen joint, and not better explained by another
diseaseto be applied. A score ≥ 6 points is required for classification as definite RA.
Reference: Aletaha et al. 2010 Rheumatoid arthritis classification criteria: an American
College of Rheumatology / European League Against Rheumatism collaborative
initiative. Ann Rheum Dis 2010;69:1580-1588.

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