Filipovich et al developed criteria for the severity of chronic graft-versus-host disease (GVHD) for the National Institutes of Health. One of the criteria involved joint and fascia involvement.
Patient selection: chronic GVHD
Parameters:
(1) symptoms
(2) range of motion
(3) erythema due to fasciitis
(4) disability and activities of daily living (ADL)
|
Parameter |
Finding |
Grade |
|
symptoms |
none |
0 |
|
|
mild tightness |
1 |
|
|
definite tightness, some joint contractures |
2 |
|
|
significant joint contractures |
3 |
|
range of motion |
normal |
0 |
|
|
mild decrease |
1 |
|
|
moderate decrease |
2 |
|
|
significant decrease |
3 |
|
erythema |
none |
0 |
|
|
present |
2 |
|
disability |
none |
0 |
|
|
mild to moderate |
2 |
|
|
significant, needs assistance with ADL |
3 |
grade for joint and fascia involvement =
= MAX(grades for all 4 parameters)
Specialty: Immunology/Rheumatology
