SLE診断基準の効用とその限界
―国立病院膠原病共同研究班集積161例の解析―
1974 年 28 巻 12 号 p. 1071-1076
詳細
1974 年 28 巻 12 号 p. 1071-1076
Six patients other than SLE including progressive systemic sclerosis with sjögrens syndrcme and rheumatoid arthritis, idiopathic thrombocytopenic purpura with nephrotic syndrome, genuine epilepsy with nephrotic syndrome, psychosomatic state in poly-surgery and pulmonary fibrosis which fulfilled four items of preliminary criteria proposed by American Rheumatism Association were described.
Criteria of SLE published in the papers of British Medical Council (1962), Stevens (1963), WHO (1967) and ARA (1971) were compaired by the retrospective analysis of 161 patients with SLE seen at 24 National Hospitals during past four years. Considerable numbers of cases in the series were excluded in the percentage of 28.5, 28.0, 27.0 and 12.0 by the criteria of ARA, MRC, Stevens, and WHO respectively.
The limited usefulness of these criteria was discussed.
