Juvenile Systemic Sclerosis Diagnosis | Medical Algorithm

Are you evaluating a pediatric patient?

Yes

Age of the patient

years

Diffusion capacity of CO (DLCO) as percent of predicted (enter from 0 to 100)

percent

Does the patient have?

• proximal induration (sclerosis) of the skin?

Yes

• sclerodactyly?

Yes

• Raynaud's phenomenon?

Yes

• capillary abnormalities in the nailfold?

Yes

• ulcers at the digital tips?

Yes

• dysphagia?

Yes

• gastroesophageal reflux?

Yes

• renal failure?

Yes

• new onset of arterial hypertension?

Yes

• cardiac arrhythmias?

Yes

• heart failure?

Yes

• pulmonary fibrosis?

Yes

• pulmonary hypertension?

Yes

• friction rubs over tendons?

Yes

• arthritis?

Yes

• myositis?

Yes

• peripheral neuropathy?

Yes

• carpal tunnel syndrome?

Yes

• antinuclear antibodies?

Yes

• anticentromere antibodies?

Yes

• antitopoisomerase I antibodies?

Yes

• antifibrillarin antibodies?

Yes

• antifibrillin antibodies?

Yes

• anti-PM-Scl antibodies?

Yes

• anti-RNA polymerase I antibodies?

Yes

• anti-RNA polymerase III antibodies?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of minor criteria present

Does the patient have juvenile systemic sclerosis?

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
- Scleroderma Risk Model for 5 Year Survival
Clinical Diagnosis, Including Family History For Genetics
- ARA Scleroderma Criteria Cooperative Study Preliminary Clinical Criteria for Systemic Sclerosis
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

PRES/ACR/EULAR Criteria for Diagnosis of Juvenile Systemic Sclerosis

Purpose: To evaluate a pediatric patient for juvenile systemic sclerosis using the PRES/ACR/EULAR criteria.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Patient Concerns

Specialty

Objective

ICD-10