{"id":311,"date":"2025-03-08T21:29:10","date_gmt":"2025-03-08T21:29:10","guid":{"rendered":"https:\/\/rheumanext.pl\/?page_id=311"},"modified":"2026-03-14T19:04:35","modified_gmt":"2026-03-14T19:04:35","slug":"twardzina-ukladowa-acr-eular-2013","status":"publish","type":"page","link":"https:\/\/rheumanext.pl\/en\/kalkulatory\/kryteria\/twardzina-ukladowa-acr-eular-2013\/","title":{"rendered":"Twardzina uk\u0142adowa (TU, SSc) &#8211; ACR\/EULAR 2013"},"content":{"rendered":"\n<section id=\"rx-ssc-acr-eular-2013-calculator\" style=\"max-width:960px;margin:0 auto;font:16px\/1.55 Inter,ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,'Segoe UI',sans-serif;color:#0f172a;\">\n  <div style=\"background:linear-gradient(180deg,#ffffff 0%,#fbfdff 100%);border:1px solid #e2e8f0;border-radius:24px;box-shadow:0 12px 30px rgba(15,23,42,.06);overflow:hidden;\">\n    <div style=\"padding:28px 28px 20px;border-bottom:1px solid #e2e8f0;background:radial-gradient(circle at top right, rgba(15,118,110,.08), transparent 32%), linear-gradient(180deg,#ffffff 0%,#f8fafc 100%);\">\n      <div style=\"display:inline-block;padding:6px 12px;border-radius:999px;background:rgba(15,118,110,.10);color:#0f766e;font-size:12px;font-weight:700;letter-spacing:.02em;text-transform:uppercase;margin-bottom:14px;\">Kalkulator klasyfikacyjny<\/div>\n      <h2 style=\"margin:0 0 10px;font-size:clamp(24px,3vw,32px);line-height:1.15;letter-spacing:-.02em;\">Twardzina uk\u0142adowa (TU, SSc) \u2014 ACR\/EULAR 2013<\/h2>\n      <p style=\"margin:0;color:#475569;max-width:76ch;\">Je\u015bli wyst\u0119puje pogrubienie sk\u00f3ry palc\u00f3w obu r\u0105k szerz\u0105ce si\u0119 proksymalnie do staw\u00f3w \u015br\u00f3dr\u0119czno-paliczkowych (MCP), to samo wystarcza do klasyfikacji SSc. W przeciwnym razie sumuje si\u0119 punkty z pozosta\u0142ych domen; wynik \u22659 punkt\u00f3w klasyfikuje SSc.<\/p>\n    <\/div>\n\n    <div style=\"padding:28px;display:grid;gap:20px;\">\n      <div style=\"background:#fff;border:1px solid #e2e8f0;border-radius:20px;padding:20px;\">\n        <h3 style=\"margin:0 0 6px;font-size:18px;\">1. Zastosowanie kryteri\u00f3w<\/h3>\n        <p style=\"margin:0 0 16px;color:#475569;font-size:14px;\">Najpierw oce\u0144, czy kryteria w og\u00f3le mo\u017cna zastosowa\u0107.<\/p>\n\n        <div style=\"display:grid;gap:16px;\">\n          <div>\n            <p style=\"margin:0 0 10px;color:#0f172a;font-weight:700;\">Czy objawy s\u0105 lepiej wyja\u015bnione przez chorob\u0119 typu <em>SSc-like disorder<\/em>?<\/p>\n            <div style=\"display:grid;grid-template-columns:repeat(auto-fit,minmax(220px,1fr));gap:12px;\">\n              <label style=\"display:flex;align-items:flex-start;gap:10px;padding:12px 14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n                <input type=\"radio\" name=\"rx-ssc-mimic\" id=\"rx-ssc-mimic-no\" value=\"no\" checked style=\"margin-top:3px;accent-color:#0f766e;\">\n                <span><strong>Nie<\/strong><br><span style=\"color:#475569;font-size:13px;\">kryteria mo\u017cna rozwa\u017ca\u0107<\/span><\/span>\n              <\/label>\n\n              <label style=\"display:flex;align-items:flex-start;gap:10px;padding:12px 14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n                <input type=\"radio\" name=\"rx-ssc-mimic\" id=\"rx-ssc-mimic-yes\" value=\"yes\" style=\"margin-top:3px;accent-color:#0f766e;\">\n                <span><strong>Tak<\/strong><br><span style=\"color:#475569;font-size:13px;\">np. morphea uog\u00f3lniona, eozynofilowe zapalenie powi\u0119zi, scleromyxedema<\/span><\/span>\n              <\/label>\n            <\/div>\n          <\/div>\n\n          <div>\n            <p style=\"margin:0 0 10px;color:#0f172a;font-weight:700;\">Czy wyst\u0119puje pogrubienie sk\u00f3ry z oszcz\u0119dzeniem palc\u00f3w?<\/p>\n            <div style=\"display:grid;grid-template-columns:repeat(auto-fit,minmax(220px,1fr));gap:12px;\">\n              <label style=\"display:flex;align-items:flex-start;gap:10px;padding:12px 14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n                <input type=\"radio\" name=\"rx-ssc-sparing\" id=\"rx-ssc-sparing-no\" value=\"no\" checked style=\"margin-top:3px;accent-color:#0f766e;\">\n                <span><strong>Nie<\/strong><\/span>\n              <\/label>\n\n              <label style=\"display:flex;align-items:flex-start;gap:10px;padding:12px 14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n                <input type=\"radio\" name=\"rx-ssc-sparing\" id=\"rx-ssc-sparing-yes\" value=\"yes\" style=\"margin-top:3px;accent-color:#0f766e;\">\n                <span><strong>Tak<\/strong><\/span>\n              <\/label>\n            <\/div>\n          <\/div>\n        <\/div>\n      <\/div>\n\n      <div style=\"background:#fff;border:1px solid #e2e8f0;border-radius:20px;padding:20px;\">\n        <h3 style=\"margin:0 0 6px;font-size:18px;\">2. Kryterium wystarczaj\u0105ce<\/h3>\n        <p style=\"margin:0 0 16px;color:#475569;font-size:14px;\">Je\u015bli obecne, dalsze liczenie punkt\u00f3w nie jest konieczne.<\/p>\n\n        <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n          <input type=\"checkbox\" id=\"rx-ssc-proximal-fingers\" style=\"margin-top:3px;accent-color:#0f766e;\">\n          <span><strong>Pogrubienie sk\u00f3ry palc\u00f3w obu r\u0105k proksymalnie do MCP<\/strong><br><span style=\"color:#475569;font-size:13px;\">Skin thickening of the fingers of both hands extending proximal to the metacarpophalangeal joints \u2022 9 pkt<\/span><\/span>\n        <\/label>\n      <\/div>\n\n      <div style=\"background:#fff;border:1px solid #e2e8f0;border-radius:20px;padding:20px;\">\n        <h3 style=\"margin:0 0 6px;font-size:18px;\">3. Punktowane domeny<\/h3>\n        <p style=\"margin:0 0 16px;color:#475569;font-size:14px;\">Je\u015bli kryterium wystarczaj\u0105ce nie jest spe\u0142nione, zsumuj poni\u017csze pozycje. W domenach \u201esk\u00f3ra palc\u00f3w\u201d i \u201ezmiany opuszki\u201d licz tylko najwy\u017cej punktowan\u0105 odpowied\u017a.<\/p>\n\n        <div style=\"display:grid;gap:20px;\">\n          <div>\n            <p style=\"margin:0 0 12px;font-weight:800;color:#0f172a;\">A. Sk\u00f3ra palc\u00f3w \u2014 licz tylko najwy\u017csz\u0105 pozycj\u0119<\/p>\n            <div style=\"display:grid;grid-template-columns:repeat(auto-fit,minmax(240px,1fr));gap:12px;\">\n              <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n                <input type=\"radio\" name=\"rx-ssc-finger-skin\" value=\"0\" data-summary=\"\" checked style=\"margin-top:3px;accent-color:#0f766e;\">\n                <span><strong>Brak<\/strong><br><span style=\"color:#475569;font-size:13px;\">0 pkt<\/span><\/span>\n              <\/label>\n\n              <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n                <input type=\"radio\" name=\"rx-ssc-finger-skin\" value=\"2\" data-summary=\"puffy fingers (+2)\" style=\"margin-top:3px;accent-color:#0f766e;\">\n                <span><strong>Obrz\u0119kni\u0119te palce<\/strong><br><span style=\"color:#475569;font-size:13px;\">Puffy fingers \u2022 2 pkt<\/span><\/span>\n              <\/label>\n\n              <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n                <input type=\"radio\" name=\"rx-ssc-finger-skin\" value=\"4\" data-summary=\"sclerodactyly distal to MCP, proximal to PIP (+4)\" style=\"margin-top:3px;accent-color:#0f766e;\">\n                <span><strong>Sklerodaktylia<\/strong><br><span style=\"color:#475569;font-size:13px;\">dystalnie od MCP, proksymalnie do PIP \u2022 4 pkt<\/span><\/span>\n              <\/label>\n            <\/div>\n          <\/div>\n\n          <div>\n            <p style=\"margin:0 0 12px;font-weight:800;color:#0f172a;\">B. Zmiany opuszki \u2014 licz tylko najwy\u017csz\u0105 pozycj\u0119<\/p>\n            <div style=\"display:grid;grid-template-columns:repeat(auto-fit,minmax(240px,1fr));gap:12px;\">\n              <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n                <input type=\"radio\" name=\"rx-ssc-fingertips\" value=\"0\" data-summary=\"\" checked style=\"margin-top:3px;accent-color:#0f766e;\">\n                <span><strong>Brak<\/strong><br><span style=\"color:#475569;font-size:13px;\">0 pkt<\/span><\/span>\n              <\/label>\n\n              <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n                <input type=\"radio\" name=\"rx-ssc-fingertips\" value=\"2\" data-summary=\"digital tip ulcers (+2)\" style=\"margin-top:3px;accent-color:#0f766e;\">\n                <span><strong>Owrzodzenia opuszki palca<\/strong><br><span style=\"color:#475569;font-size:13px;\">Digital tip ulcers \u2022 2 pkt<\/span><\/span>\n              <\/label>\n\n              <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n                <input type=\"radio\" name=\"rx-ssc-fingertips\" value=\"3\" data-summary=\"fingertip pitting scars (+3)\" style=\"margin-top:3px;accent-color:#0f766e;\">\n                <span><strong>Blizny \/ ubytki opuszki<\/strong><br><span style=\"color:#475569;font-size:13px;\">Fingertip pitting scars \u2022 3 pkt<\/span><\/span>\n              <\/label>\n            <\/div>\n          <\/div>\n\n          <div>\n            <p style=\"margin:0 0 12px;font-weight:800;color:#0f172a;\">C. Naczyniowe i kapilaroskopowe<\/p>\n            <div style=\"display:grid;grid-template-columns:repeat(auto-fit,minmax(240px,1fr));gap:12px;\">\n              <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n                <input type=\"checkbox\" id=\"rx-ssc-telangiectasia\" style=\"margin-top:3px;accent-color:#0f766e;\">\n                <span><strong>Teleangiektazje<\/strong><br><span style=\"color:#475569;font-size:13px;\">2 pkt<\/span><\/span>\n              <\/label>\n\n              <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n                <input type=\"checkbox\" id=\"rx-ssc-nailfold\" style=\"margin-top:3px;accent-color:#0f766e;\">\n                <span><strong>Nieprawid\u0142owe kapilary wa\u0142u paznokciowego<\/strong><br><span style=\"color:#475569;font-size:13px;\">Abnormal nailfold capillaries \u2022 2 pkt<\/span><\/span>\n              <\/label>\n\n              <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n                <input type=\"checkbox\" id=\"rx-ssc-raynaud\" style=\"margin-top:3px;accent-color:#0f766e;\">\n                <span><strong>Objaw Raynauda<\/strong><br><span style=\"color:#475569;font-size:13px;\">3 pkt<\/span><\/span>\n              <\/label>\n            <\/div>\n          <\/div>\n\n          <div>\n            <p style=\"margin:0 0 12px;font-weight:800;color:#0f172a;\">D. P\u0142uca \/ kr\u0105\u017cenie p\u0142ucne \u2014 maksymalnie 2 pkt \u0142\u0105cznie<\/p>\n            <div style=\"display:grid;grid-template-columns:repeat(auto-fit,minmax(240px,1fr));gap:12px;\">\n              <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n                <input type=\"checkbox\" id=\"rx-ssc-pah\" style=\"margin-top:3px;accent-color:#0f766e;\">\n                <span><strong>Nadci\u015bnienie t\u0119tnicze p\u0142ucne<\/strong><br><span style=\"color:#475569;font-size:13px;\">PAH \u2022 w tej domenie maks. 2 pkt<\/span><\/span>\n              <\/label>\n\n              <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n                <input type=\"checkbox\" id=\"rx-ssc-ild\" style=\"margin-top:3px;accent-color:#0f766e;\">\n                <span><strong>\u015ar\u00f3dmi\u0105\u017cszowa choroba p\u0142uc<\/strong><br><span style=\"color:#475569;font-size:13px;\">ILD \u2022 w tej domenie maks. 2 pkt<\/span><\/span>\n              <\/label>\n            <\/div>\n          <\/div>\n\n          <div>\n            <p style=\"margin:0 0 12px;font-weight:800;color:#0f172a;\">E. Autoprzeciwcia\u0142a swoiste dla SSc \u2014 maksymalnie 3 pkt \u0142\u0105cznie<\/p>\n            <div style=\"display:grid;grid-template-columns:repeat(auto-fit,minmax(240px,1fr));gap:12px;\">\n              <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n                <input type=\"checkbox\" id=\"rx-ssc-aca\" style=\"margin-top:3px;accent-color:#0f766e;\">\n                <span><strong>Anty-centromerowe<\/strong><br><span style=\"color:#475569;font-size:13px;\">Anti-centromere<\/span><\/span>\n              <\/label>\n\n              <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n                <input type=\"checkbox\" id=\"rx-ssc-scl70\" style=\"margin-top:3px;accent-color:#0f766e;\">\n                <span><strong>Anty-topoizomeraza I<\/strong><br><span style=\"color:#475569;font-size:13px;\">Anti-Scl-70 \/ anti-topoisomerase I<\/span><\/span>\n              <\/label>\n\n              <label style=\"display:flex;align-items:flex-start;gap:10px;padding:14px;border:1px solid #e2e8f0;border-radius:16px;background:#fff;cursor:pointer;\">\n                <input type=\"checkbox\" id=\"rx-ssc-rnap3\" style=\"margin-top:3px;accent-color:#0f766e;\">\n                <span><strong>Anty-RNA polimeraza III<\/strong><br><span style=\"color:#475569;font-size:13px;\">Anti-RNA polymerase III<\/span><\/span>\n              <\/label>\n            <\/div>\n          <\/div>\n        <\/div>\n      <\/div>\n\n      <div style=\"display:flex;flex-wrap:wrap;gap:12px;margin-top:2px;\">\n        <button\n          type=\"button\"\n          id=\"rx-ssc-calc-btn\"\n          style=\"appearance:none;border:0;border-radius:16px;padding:14px 18px;background:linear-gradient(180deg,#0f766e 0%,#115e59 100%);color:#fff;font:inherit;font-weight:700;cursor:pointer;box-shadow:0 12px 24px rgba(15,118,110,.22);display:inline-flex;align-items:center;justify-content:center;min-width:180px;\"\n        >Oblicz wynik<\/button>\n\n        <button\n          type=\"button\"\n          id=\"rx-ssc-clear-btn\"\n          style=\"appearance:none;border:1px solid #cbd5e1;border-radius:16px;padding:14px 18px;background:#fff;color:#0f172a;font:inherit;font-weight:700;cursor:pointer;display:inline-flex;align-items:center;justify-content:center;\"\n        >Wyczy\u015b\u0107<\/button>\n      <\/div>\n\n      <div id=\"rx-ssc-result\" style=\"display:block;border-radius:20px;padding:20px;border:1px solid #e2e8f0;background:#f8fafc;\">\n        <p id=\"rx-ssc-result-title\" style=\"margin:0 0 8px;font-size:18px;line-height:1.3;font-weight:800;color:#0f172a;\">Wynik pojawi si\u0119 tutaj<\/p>\n        <p id=\"rx-ssc-result-text\" style=\"margin:0 0 8px;\">Zaznacz odpowiedzi, a nast\u0119pnie kliknij \u201eOblicz wynik\u201d.<\/p>\n        <p id=\"rx-ssc-result-note\" style=\"margin:0;color:#475569;font-size:14px;\">Regu\u0142a: kryterium wystarczaj\u0105ce = 9 pkt. Je\u015bli go nie ma, zsumuj punkty z domen; wynik \u22659 pkt klasyfikuje SSc wed\u0142ug ACR\/EULAR 2013.<\/p>\n      <\/div>\n\n      <div style=\"border:1px solid #e2e8f0;background:linear-gradient(180deg,#ffffff 0%,#f8fafc 100%);border-radius:18px;padding:16px 18px;color:#475569;font-size:14px;\">\n        <strong style=\"color:#0f172a;\">Uwaga:<\/strong> to narz\u0119dzie wspiera klasyfikacj\u0119 twardziny uk\u0142adowej i nie zast\u0119puje pe\u0142nej oceny klinicznej. Kryteria klasyfikacyjne nie s\u0105 samodzielnym narz\u0119dziem diagnostycznym. Edukacyjnie. Nie zast\u0119puje konsultacji lekarskiej.\n      <\/div>\n    <\/div>\n  <\/div>\n<\/section>\n\n<script>\n(function () {\n  var calcBtn = document.getElementById('rx-ssc-calc-btn');\n  var clearBtn = document.getElementById('rx-ssc-clear-btn');\n\n  if (!calcBtn || !clearBtn) return;\n\n  function getSelectedRadio(name) {\n    return document.querySelector('input[name=\"' + name + '\"]:checked');\n  }\n\n  function getSelectedValue(name) {\n    var selected = getSelectedRadio(name);\n    return selected ? parseInt(selected.value, 10) : 0;\n  }\n\n  function getSelectedSummary(name) {\n    var selected = getSelectedRadio(name);\n    return selected ? (selected.getAttribute('data-summary') || '') : '';\n  }\n\n  calcBtn.addEventListener('click', function () {\n    var mimic = document.getElementById('rx-ssc-mimic-yes').checked;\n    var sparing = document.getElementById('rx-ssc-sparing-yes').checked;\n    var sufficient = document.getElementById('rx-ssc-proximal-fingers').checked;\n\n    var result = document.getElementById('rx-ssc-result');\n    var title = document.getElementById('rx-ssc-result-title');\n    var text = document.getElementById('rx-ssc-result-text');\n    var note = document.getElementById('rx-ssc-result-note');\n\n    result.style.display = 'block';\n\n    if (mimic) {\n      result.style.background = '#fef2f2';\n      result.style.border = '1px solid #fecaca';\n      title.style.color = '#991b1b';\n      title.innerHTML = 'Kryteria nie maj\u0105 zastosowania';\n      text.innerHTML = 'Obraz jest lepiej wyja\u015bniony przez chorob\u0119 typu SSc-like disorder.';\n      note.innerHTML = 'Wed\u0142ug ACR\/EULAR 2013 tych kryteri\u00f3w nie stosuje si\u0119, gdy manifestacje lepiej t\u0142umaczy inne rozpoznanie.';\n      return;\n    }\n\n    if (sparing) {\n      result.style.background = '#fef2f2';\n      result.style.border = '1px solid #fecaca';\n      title.style.color = '#991b1b';\n      title.innerHTML = 'Nie klasyfikuje jako SSc tym zestawem';\n      text.innerHTML = 'Zaznaczono pogrubienie sk\u00f3ry z oszcz\u0119dzeniem palc\u00f3w.';\n      note.innerHTML = 'Pacjenci z pogrubieniem sk\u00f3ry oszcz\u0119dzaj\u0105cym palce nie s\u0105 klasyfikowani jako SSc wed\u0142ug ACR\/EULAR 2013.';\n      return;\n    }\n\n    if (sufficient) {\n      result.style.background = '#f0fdf4';\n      result.style.border = '1px solid #bbf7d0';\n      title.style.color = '#166534';\n      title.innerHTML = 'Kryteria spe\u0142nione';\n      text.innerHTML = 'Spe\u0142niono kryteria ACR\/EULAR 2013 dla twardziny uk\u0142adowej przez kryterium wystarczaj\u0105ce.';\n      note.innerHTML = 'Obecne: pogrubienie sk\u00f3ry palc\u00f3w obu r\u0105k szerz\u0105ce si\u0119 proksymalnie do MCP (9 pkt). Dalsze liczenie punkt\u00f3w nie jest konieczne.';\n      return;\n    }\n\n    var fingerSkinPoints = getSelectedValue('rx-ssc-finger-skin');\n    var fingerSkinSummary = getSelectedSummary('rx-ssc-finger-skin');\n\n    var fingertipPoints = getSelectedValue('rx-ssc-fingertips');\n    var fingertipSummary = getSelectedSummary('rx-ssc-fingertips');\n\n    var telangiectasia = document.getElementById('rx-ssc-telangiectasia').checked;\n    var nailfold = document.getElementById('rx-ssc-nailfold').checked;\n    var raynaud = document.getElementById('rx-ssc-raynaud').checked;\n    var pah = document.getElementById('rx-ssc-pah').checked;\n    var ild = document.getElementById('rx-ssc-ild').checked;\n    var aca = document.getElementById('rx-ssc-aca').checked;\n    var scl70 = document.getElementById('rx-ssc-scl70').checked;\n    var rnap3 = document.getElementById('rx-ssc-rnap3').checked;\n\n    var total = 0;\n    var summary = [];\n\n    total += fingerSkinPoints;\n    total += fingertipPoints;\n\n    if (fingerSkinSummary) summary.push(fingerSkinSummary);\n    if (fingertipSummary) summary.push(fingertipSummary);\n\n    if (telangiectasia) {\n      total += 2;\n      summary.push('telangiectasia (+2)');\n    }\n\n    if (nailfold) {\n      total += 2;\n      summary.push('abnormal nailfold capillaries (+2)');\n    }\n\n    if (raynaud) {\n      total += 3;\n      summary.push(\"Raynaud's phenomenon (+3)\");\n    }\n\n    var pulmonaryList = [];\n    if (pah) pulmonaryList.push('PAH');\n    if (ild) pulmonaryList.push('ILD');\n    if (pulmonaryList.length) {\n      total += 2;\n      summary.push('PAH and\/or ILD (+2): ' + pulmonaryList.join(', '));\n    }\n\n    var antibodyList = [];\n    if (aca) antibodyList.push('anti-centromere');\n    if (scl70) antibodyList.push('anti-topoisomerase I \/ anti-Scl-70');\n    if (rnap3) antibodyList.push('anti-RNA polymerase III');\n    if (antibodyList.length) {\n      total += 3;\n      summary.push('SSc-related antibodies (+3): ' + antibodyList.join(', '));\n    }\n\n    if (total >= 9) {\n      result.style.background = '#f0fdf4';\n      result.style.border = '1px solid #bbf7d0';\n      title.style.color = '#166534';\n      title.innerHTML = 'Kryteria spe\u0142nione';\n      text.innerHTML = 'Spe\u0142niono kryteria ACR\/EULAR 2013 dla twardziny uk\u0142adowej.';\n      note.innerHTML = 'Suma punkt\u00f3w: ' + total + '. ' + (summary.length ? 'Zaliczone pozycje: ' + summary.join('; ') + '.' : '');\n    } else {\n      result.style.background = '#fffbeb';\n      result.style.border = '1px solid #fde68a';\n      title.style.color = '#92400e';\n      title.innerHTML = 'Kryteria niespe\u0142nione';\n      text.innerHTML = 'Nie osi\u0105gni\u0119to progu klasyfikacyjnego dla twardziny uk\u0142adowej wed\u0142ug ACR\/EULAR 2013.';\n      note.innerHTML = 'Suma punkt\u00f3w: ' + total + '. Do klasyfikacji potrzeba co najmniej 9 pkt.' + (summary.length ? ' Zaliczone pozycje: ' + summary.join('; ') + '.' : '');\n    }\n  });\n\n  clearBtn.addEventListener('click', function () {\n    document.getElementById('rx-ssc-mimic-no').checked = true;\n    document.getElementById('rx-ssc-sparing-no').checked = true;\n    document.getElementById('rx-ssc-proximal-fingers').checked = false;\n\n    document.querySelector('input[name=\"rx-ssc-finger-skin\"][value=\"0\"]').checked = true;\n    document.querySelector('input[name=\"rx-ssc-fingertips\"][value=\"0\"]').checked = true;\n\n    document.getElementById('rx-ssc-telangiectasia').checked = false;\n    document.getElementById('rx-ssc-nailfold').checked = false;\n    document.getElementById('rx-ssc-raynaud').checked = false;\n    document.getElementById('rx-ssc-pah').checked = false;\n    document.getElementById('rx-ssc-ild').checked = false;\n    document.getElementById('rx-ssc-aca').checked = false;\n    document.getElementById('rx-ssc-scl70').checked = false;\n    document.getElementById('rx-ssc-rnap3').checked = false;\n\n    document.getElementById('rx-ssc-result').style.display = 'block';\n    document.getElementById('rx-ssc-result').style.background = '#f8fafc';\n    document.getElementById('rx-ssc-result').style.border = '1px solid #e2e8f0';\n    document.getElementById('rx-ssc-result-title').style.color = '#0f172a';\n    document.getElementById('rx-ssc-result-title').innerHTML = 'Wynik pojawi si\u0119 tutaj';\n    document.getElementById('rx-ssc-result-text').innerHTML = 'Zaznacz odpowiedzi, a nast\u0119pnie kliknij \u201eOblicz wynik\u201d.';\n    document.getElementById('rx-ssc-result-note').innerHTML = 'Regu\u0142a: kryterium wystarczaj\u0105ce = 9 pkt. Je\u015bli go nie ma, zsumuj punkty z domen; wynik \u22659 pkt klasyfikuje SSc wed\u0142ug ACR\/EULAR 2013.';\n  });\n})();\n<\/script>\n\n","protected":false},"excerpt":{"rendered":"<p>Kalkulator klasyfikacyjny Twardzina uk\u0142adowa (TU, SSc) \u2014 ACR\/EULAR 2013 Je\u015bli wyst\u0119puje pogrubienie sk\u00f3ry palc\u00f3w obu r\u0105k szerz\u0105ce si\u0119 proksymalnie do staw\u00f3w \u015br\u00f3dr\u0119czno-paliczkowych (MCP), to samo wystarcza do klasyfikacji SSc. W przeciwnym razie sumuje si\u0119 punkty z pozosta\u0142ych domen; wynik \u22659 punkt\u00f3w klasyfikuje SSc. 1. Zastosowanie kryteri\u00f3w Najpierw oce\u0144, czy kryteria w og\u00f3le mo\u017cna zastosowa\u0107. Czy&#8230;<\/p>","protected":false},"author":1,"featured_media":0,"parent":980,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"_kadence_starter_templates_imported_post":false,"_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"_kad_post_classname":"","footnotes":""},"class_list":["post-311","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/rheumanext.pl\/en\/wp-json\/wp\/v2\/pages\/311","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/rheumanext.pl\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/rheumanext.pl\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/rheumanext.pl\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/rheumanext.pl\/en\/wp-json\/wp\/v2\/comments?post=311"}],"version-history":[{"count":4,"href":"https:\/\/rheumanext.pl\/en\/wp-json\/wp\/v2\/pages\/311\/revisions"}],"predecessor-version":[{"id":1144,"href":"https:\/\/rheumanext.pl\/en\/wp-json\/wp\/v2\/pages\/311\/revisions\/1144"}],"up":[{"embeddable":true,"href":"https:\/\/rheumanext.pl\/en\/wp-json\/wp\/v2\/pages\/980"}],"wp:attachment":[{"href":"https:\/\/rheumanext.pl\/en\/wp-json\/wp\/v2\/media?parent=311"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}