Description

EULAR developed a disease activity index for primary Sjogren's syndrome called the ESSDAI. This consists of 12 subscores measuring various components of disease activity. The authors are from the European League Against Rheumatism Sjogren's Task Force.


 

Patient selection: primary Sjogren's syndrome

 

Exclude: fever of infectious origin

 

Parameters for constitutional subscore:

(1) fever in °C and night sweats

(2) involuntary weight loss in percent

 

involuntary weight loss in percent =

= (involuntary weight loss) / (baseline weight) * 100%

Parameter

Finding

Points

fever and night sweats

none

0

 

mild (37.5 to 38.5°C) or intermittent

1

 

> 38.5°C

2

involuntary weight loss

less than 5% of baseline body weight

0

 

5 to 10%

1

 

> 10%

2

 

subscore weighting: 3

 

subscore for constitutional symptoms =

= MAX(points for the 2 parameters) * (weighting)

 

Interpretation:

• minimum subscore: 0

• maximum subscore: 6

 

Subscore

Disease Activity

0

no

3

low

6

moderate

 


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