Foeldvari I, Bidde M
Unit of Pediatric Rheumatology, University Children's Hospital, Hamburg, Germany.
J Rheumatol. 2000 Apr;27(4):1069-72.
The new International League of Associations for Rheumatology (ILAR) classification criteria were proposed to facilitate communication among pediatric rheumatologists. Before they are applied in daily practice they should be clinically validated.
We retrospectively applied the proposed criteria on our pediatric rheumatology patient population seen between June 1 and August 31, 1998.
We saw 67 patients with oligoarticular (oJRA), 6 with polyarticular/RF negative (pJRA), and 8 with systemic juvenile rheumatoid arthritis (sJRA), all classified according to American College of Rheumatology criteria, 5 with juvenile psoriatic arthritis (PsA) according to the Vancouver criteria, and 11 with juvenile spondyloarthritis (SP) according to the European Spondylarthropathy Study Group preliminary criteria. Of the 97 patients, 85 could be clearly classified according to the ILAR criteria. Twelve patients (12%) were classified as "other." Six patients could not be classified as "oligo" because of a family history of psoriasis, and did not fulfill the criteria for PsA either. All 6 "other" patients fulfilled criteria for 2 different categories.
With this ILAR proposed classification criteria 88% of patients could be classified. In patients classified as "other," the psoriatic trait caused the most difficulty in classification.
新的国际风湿病学联盟（ILAR）分类标准被提出以促进儿科风湿病学家之间的交流。在其应用于日常实践之前，应进行临床验证。
我们回顾性地将提议的标准应用于1998年6月1日至8月31日期间在我们儿科风湿病门诊就诊的患者群体。
我们共诊治了67例少关节型幼年特发性关节炎（oJRA）患者、6例多关节型/类风湿因子阴性（pJRA）患者和8例全身型幼年类风湿关节炎（sJRA）患者，所有这些患者均根据美国风湿病学会标准进行分类；5例幼年银屑病关节炎（PsA）患者根据温哥华标准分类；11例幼年脊柱关节炎（SP）患者根据欧洲脊柱关节病研究组初步标准分类。在这97例患者中，85例可根据ILAR标准明确分类。12例患者（12%）被分类为“其他”。6例患者因有银屑病家族史而不能被分类为“少关节型”，且也不符合PsA的标准。所有6例“其他”患者均符合两种不同类别的标准。
采用该提议的ILAR分类标准，88%的患者可被分类。在被分类为“其他”的患者中，银屑病特征在分类中造成的困难最大。
