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J Rheumatol. 1996 Mar;23(3):495-7.

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

Author information

1
Service de Rhumatologie, CHU Angers, France.

Abstract

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.

PMID:
8832990
[Indexed for MEDLINE]

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