Early Persistent Inflammatory Synovitis Assessment (EPISA) Score

Purpose: To evaluate a patient with the recent onset of synovitis using the Early Persistent Inflammatory Synovitis Assessment (EPISA) score of El Miedany et al.

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Evaluation

Are you evaluating a patient with the recent onset of synovitis?

Yes

Duration of morning stiffness

minutes

Is the anti-CCP titer positive?

Yes

HAQ at baseline

HAQ at 3 months

Results

Please fill out required fields.

Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Percent change in HAQ

EPISA score

Does the patient have a synovitis that will probably be persistent?

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

Specialty

Immunology/Rheumatology
Surgery, orthopedic
Infectious Diseases

Objective

risk factors
response to therapy
quality of life

ICD-10

M00.8 - Arthritis and polyarthritis due to other specified bacterial agents
M00.9 - Pyogenic arthritis, unspecified

Info

Purpose: To evaluate a patient with the recent onset of synovitis using the Early Persistent Inflammatory Synovitis Assessment (EPISA) score of El Miedany et al.

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

Objective: risk factors, response to therapy, quality of life

ICD-10: M00.8, M00.9,

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