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EVALUATION OF DIAGNOSTIC CRITERIA FOR ANKYLOSING SPONDYLITIS: A COMPARISON OF THE ROME, NEW YORK AND MODIFIED NEW YORK CRITERIA IN PATIENTS WITH A POSITIVE CLINICAL HISTORY SCREENING TEST FOR ANKYLOSING SPONDYLITIS

GOEI THE, HENK SIMON ; STEVEN, MALCOLM M. ; VAN DER LINDEN, SJEF M. ; CATS, ARNOLD

In: Rheumatology, 1985, vol. 24, no. 3, p. 242-249

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    Titre
    • EVALUATION OF DIAGNOSTIC CRITERIA FOR ANKYLOSING SPONDYLITIS: A COMPARISON OF THE ROME, NEW YORK AND MODIFIED NEW YORK CRITERIA IN PATIENTS WITH A POSITIVE CLINICAL HISTORY SCREENING TEST FOR ANKYLOSING SPONDYLITIS
    Auteur
    • GOEI THE, HENK SIMON. The Departments of Rheumatology of De Wever Ziekenhuis Heerlen, The Netherlands
    • STEVEN, MALCOLM M.. The Departments of Rheumatology of University of Leiden The Netherlands
    • VAN DER LINDEN, SJEF M.. The Departments of Rheumatology of University of Bern Switzerland
    • CATS, ARNOLD. The Departments of Rheumatology of University of Leiden The Netherlands
    Type de document
    • Postprint
    Identifiant OAI-PMH
    • oai:doc.rero.ch:290934
    Summary
    The modified New York criteria for the diagnosis of ankylosing spondylitis were evaluated and compared to the older criteria in 151 patients, referred to hospital because of low back pain and who had a positive clinical history screening test for ankylosing spondylitis and in 31 controls with noninflammatory back pain. Radiological examination of the sacro-iliac joints showed sacro-iliitis in 124 (82%) from the 151 with inflammatory back pain. In 110(72%) of those patients a diagnosis of definite ankylosing spondylitis according to the classical New York criteria could be made and they had a prevalence of HLA-B27 of 84%. Application of the modified New York scheme increased the number of patients meeting the criteria for definite ankylosing spondylitis to all 124 patients with sacro-iliitis, and 82% of this group carried HLA-B27. The classical New York criteria of ‘limitation of the lumbar spine in three directions' and of ‘limitation of chest expansion' appeared to reflect disease duration rather than help in the initial diagnosis