Juge et al reported scores for evaluating a patient with rheumatoid arthritis for the risk of subclinical interstitial lung disease (ILD). One score does not include genotyping of MUC5B. The authors are from multiple institutions in France and Brigham and Women's Hospital.
Patient selection: rheumatoid arthritis
Parameters:
(1) sex
(2) age at RA onset
(3) mean DAS28-ESR (based on the last 4 values)
Parameter
Finding
Points
sex
female
0
male
28
age at RA onset
<= 49 years
0
50 to 58 years
21
> 58 years
47
mean DA28-ESR
< 2.9
0
2.9 to 4.3
20
> 4.3
38
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 113
• A total score > 25 indicates a patient at risk for subclinical interstitial lung disease.
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