Synovialitis Score of Krenn et al for Grading Histologic Features of Chronic Synovitis

Purpose: To grade histologic features of chronic synovities using the Synovialitis Score of Krenn et al.

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Evaluation

Are you examining a synovial biopsy?

Yes

Select an appropriate answer for each histologic finding

Enlargement of lining cell layer

Activation of stromal cells

Leukocytic infiltrate

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Synovialitis Score

Level of synovialitis

Is a rheumatic joint disease probable?

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
Imaging Studies
- Differential Diagnosis of Recurrent or Relapsing Arthritis
- Celiac Disease Arthropathy (Arthritis of Celiac Disease)
Laboratory Tests
Other Testing
- Celiac Disease Arthropathy (Arthritis of Celiac Disease)
Criteria For Diagnosis
Severity, Prognosis, Stage
- Palindromic Rheumatism | Risk Factors for Development of Connective Tissue Disorder
Differential Diagnosis And Mimics, Red Flags
- Steroid Pseudorheumatism (Arthralgias and Myalgias Associated with Steroid Withdrawal)
- Differential Diagnosis of Recurrent or Relapsing Arthritis
Failure Handling, When To Refer
- Chronic Arthropathy | Tool for Identifying Pediatric Patients

Therapy

Diet
- Food Induced Allergic Arthritis
Prevention
- Arthritis | Model for Early Prediction of Outcome
- Food Induced Allergic Arthritis

Monitoring

Response To Therapy
Adverse Effects
- Steroid Pseudorheumatism (Arthralgias and Myalgias Associated with Steroid Withdrawal)
- Arthritis Associated with Intestinal Bypass for Morbid Obesity (Intestinal Bypass Arthritis)
Disease Progression
- Palindromic Rheumatism | Risk Factors for Development of Connective Tissue Disorder
Complication Detection
- Steroid Pseudorheumatism (Arthralgias and Myalgias Associated with Steroid Withdrawal)
- Arthritis Associated with Intestinal Bypass for Morbid Obesity (Intestinal Bypass Arthritis)
Comorbid Conditions
- Relapsing Seronegative Symmetric Synovitis with Pitting Edema (RS3PE)
- Celiac Disease Arthropathy (Arthritis of Celiac Disease)

Patient Concerns

Quality Of Life
- Dialysis Related Amyloid Arthropathy
- Early Persistent Inflammatory Synovitis Assessment (EPISA) Score

Specialty

Immunology/Rheumatology
Surgery, orthopedic
Infectious Diseases

Objective

laboratory tests
severity
prognosis
stage

ICD-10

M65 - Synovitis and tenosynovitis

Info

Purpose: To grade histologic features of chronic synovities using the Synovialitis Score of Krenn et al.

Specialty: Immunology/Rheumatology, Surgery, orthopedic, Infectious Diseases

Objective: laboratory tests, severity, prognosis, stage

ICD-10: M65,

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