Systemic Sclerosis Diagnostic Criteria - Medical Algorithm

Are you evaluating a person for scleroderma (systemic sclerosis)?

Yes

Is proximal scleroderma present, not limited to a single, localized lesion?

Yes

Is sclerodactyly present?

Yes

Are there digital pitting scars of fingertips ascribed to ischemia?

Yes

Is there a loss of substance in the distal finger pads ascribed to ischemia?

Yes

Do chest X-rays show bibasilar pulmonary fibrosis?

Yes

Could the fibrosis be due to a primary, nonimmune lung disease?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of major criteria present

Number of minor criteria present

Does the patient meet criteria for the diagnosis of systemic sclerosis (scleroderma)?

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
- Scleroderma Risk Model for 5 Year Survival
Imaging Studies
Laboratory Tests
Other Testing
Criteria For Diagnosis
Severity, Prognosis, Stage
Differential Diagnosis And Mimics, Red Flags

Therapy

Physical And Lifestyle
- Drug Induced Scleroderma

Monitoring

Response To Therapy
Disease Progression
Comorbid Conditions
- Prognostic Factors for Patient with Juvenile Systemic Sclerosis
- Lung Severity Scale of Medsger for Patient with Systemic Sclerosis

Patient Concerns

End-of-life, Palliative Care
- Scleroderma Risk Model for 5 Year Survival

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Patient Concerns

Specialty

Objective

ICD-10

ARA Scleroderma Criteria Cooperative Study Preliminary Clinical Criteria for Systemic Sclerosis

Purpose: To determine if a patient meets criteria for the diagnosis of systemic sclerosis (scleroderma)?

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Patient Concerns

Specialty

Objective

ICD-10