{"id":323,"date":"2025-03-08T21:40:13","date_gmt":"2025-03-08T21:40:13","guid":{"rendered":"https:\/\/rheumanext.pl\/?page_id=323"},"modified":"2026-03-14T17:46:13","modified_gmt":"2026-03-14T17:46:13","slug":"mieszana-choroba-tkanki-lacznej-mctd-alarcon-segovia-i-villarreal","status":"publish","type":"page","link":"https:\/\/rheumanext.pl\/en\/kalkulatory\/kryteria\/mieszana-choroba-tkanki-lacznej-mctd-alarcon-segovia-i-villarreal\/","title":{"rendered":"Mieszana choroba tkanki \u0142\u0105cznej (MCTD) &#8211; Alarc\u00f3n-Segovia i Villarreal"},"content":{"rendered":"<section id=\"rx-mctd-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;\">Mieszana choroba tkanki \u0142\u0105cznej (MCTD) \u2014 Alarc\u00f3n-Segovia i Villarreal<\/h2>\n      <p style=\"margin:0;color:#475569;max-width:72ch;\">Wymagane jest wysokie miano anty-U1 RNP oraz co najmniej 3 kryteria kliniczne. Sam uk\u0142ad: obrz\u0119k r\u0105k + Raynaud + akroskleroza nie wystarcza bez synovitis lub myositis.<\/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;\">Warunek wst\u0119pny<\/h3>\n        <p style=\"margin:0 0 16px;color:#475569;font-size:14px;\">Czy pacjent ma wysokie miano przeciwcia\u0142 anty-U1 RNP?<\/p>\n\n        <label style=\"display:flex;align-items:flex-start;gap:10px;padding:12px 14px;border:1px solid #e2e8f0;border-radius:16px;margin-bottom:10px;background:#fff;cursor:pointer;\">\n          <input type=\"radio\" name=\"rx-mctd-u1rnp\" id=\"rx-mctd-u1rnp-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-mctd-u1rnp\" id=\"rx-mctd-u1rnp-yes\" value=\"yes\" style=\"margin-top:3px;accent-color:#0f766e;\">\n          <span><strong>Tak<\/strong><\/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;\">Kryteria kliniczne<\/h3>\n        <p style=\"margin:0 0 16px;color:#475569;font-size:14px;\">Zaznacz wszystkie obecne cechy kliniczne.<\/p>\n\n        <div style=\"display:grid;grid-template-columns:repeat(2,minmax(0,1fr));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-puffyHands\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Obrz\u0119k r\u0105k<\/strong><br><span style=\"color:#475569;font-size:13px;\">Edematous \/ puffy hands<\/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-raynaud\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Objaw Raynauda<\/strong><br><span style=\"color:#475569;font-size:13px;\">Raynaud phenomenon<\/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-synovitis\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Zapalenie b\u0142ony maziowej<\/strong><br><span style=\"color:#475569;font-size:13px;\">Synovitis<\/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-myositis\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Zapalenie mi\u0119\u015bni<\/strong><br><span style=\"color:#475569;font-size:13px;\">Myositis<\/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;grid-column:1\/-1;\">\n            <input type=\"checkbox\" id=\"rx-acrosclerosis\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Akroskleroza \/ sklerodaktylia<\/strong><br><span style=\"color:#475569;font-size:13px;\">Acrosclerosis \/ sclerodactyly<\/span><\/span>\n          <\/label>\n        <\/div>\n\n        <div style=\"display:flex;flex-wrap:wrap;gap:12px;margin-top:18px;\">\n          <button\n            type=\"button\"\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);\"\n            onclick=\"              var serology=document.getElementById('rx-mctd-u1rnp-yes').checked;              var puffy=document.getElementById('rx-puffyHands').checked;              var raynaud=document.getElementById('rx-raynaud').checked;              var synovitis=document.getElementById('rx-synovitis').checked;              var myositis=document.getElementById('rx-myositis').checked;              var acro=document.getElementById('rx-acrosclerosis').checked;              var count=(puffy?1:0)+(raynaud?1:0)+(synovitis?1:0)+(myositis?1:0)+(acro?1:0);              var result=document.getElementById('rx-result');              var title=document.getElementById('rx-result-title');              var text=document.getElementById('rx-result-text');              var note=document.getElementById('rx-result-note');              result.style.display='block';              if(!serology){                result.style.background='#fef2f2';                result.style.border='1px solid #fecaca';                title.style.color='#991b1b';                title.innerHTML='Kryteria niespe\u0142nione';                text.innerHTML='Nie spe\u0142niono warunku wst\u0119pnego: brak wysokiego miana przeciwcia\u0142 anty-U1 RNP.';                note.innerHTML='Bez dodatniego anty-U1 RNP kryteria Alarc\u00f3n-Segovia i Villarreal nie s\u0105 spe\u0142nione.';              } else if(count<3){                result.style.background='#fffbeb';                result.style.border='1px solid #fde68a';                title.style.color='#92400e';                title.innerHTML='Za ma\u0142o kryteri\u00f3w klinicznych';                text.innerHTML='Zaznaczono ' + count + ' z 5 kryteri\u00f3w klinicznych. Do spe\u0142nienia kryteri\u00f3w potrzebne s\u0105 co najmniej 3.';                note.innerHTML='Regu\u0142a: wysokie miano anty-U1 RNP + \u22653 kryteria kliniczne.';              } else if(puffy &#038;&#038; raynaud &#038;&#038; acro &#038;&#038; !synovitis &#038;&#038; !myositis){                result.style.background='#fffbeb';                result.style.border='1px solid #fde68a';                title.style.color='#92400e';                title.innerHTML='Uk\u0142ad kryteri\u00f3w niewystarczaj\u0105cy';                text.innerHTML='Sam zestaw: obrz\u0119k r\u0105k + objaw Raynauda + akroskleroza nie wystarcza.';                note.innerHTML='W tym uk\u0142adzie potrzebne jest dodatkowo zapalenie b\u0142ony maziowej lub zapalenie mi\u0119\u015bni.';              } else {                result.style.background='#f0fdf4';                result.style.border='1px solid #bbf7d0';                title.style.color='#166534';                title.innerHTML='Kryteria spe\u0142nione';                text.innerHTML='Spe\u0142niono kryteria Alarc\u00f3n-Segovia i Villarreal dla MCTD.';                note.innerHTML='Wysokie miano anty-U1 RNP oraz odpowiedni uk\u0142ad co najmniej 3 kryteri\u00f3w klinicznych.';              }            \"\n          >Oblicz wynik<\/button>\n\n          <button\n            type=\"button\"\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;\"\n            onclick=\"              document.getElementById('rx-mctd-u1rnp-no').checked=true;              document.getElementById('rx-puffyHands').checked=false;              document.getElementById('rx-raynaud').checked=false;              document.getElementById('rx-synovitis').checked=false;              document.getElementById('rx-myositis').checked=false;              document.getElementById('rx-acrosclerosis').checked=false;              document.getElementById('rx-result').style.display='block';              document.getElementById('rx-result').style.background='#f8fafc';              document.getElementById('rx-result').style.border='1px solid #e2e8f0';              document.getElementById('rx-result-title').style.color='#0f172a';              document.getElementById('rx-result-title').innerHTML='Wynik pojawi si\u0119 tutaj';              document.getElementById('rx-result-text').innerHTML='Zaznacz warunek serologiczny i kryteria kliniczne, a nast\u0119pnie kliknij \u201eOblicz wynik\u201d.';              document.getElementById('rx-result-note').innerHTML='Regu\u0142a: wysokie miano anty-U1 RNP + \u22653 kryteria kliniczne; sam zestaw \u201eobrz\u0119k r\u0105k + Raynaud + akroskleroza\u201d nie wystarcza bez zapalenia b\u0142ony maziowej lub mi\u0119\u015bni.';            \"\n          >Wyczy\u015b\u0107<\/button>\n        <\/div>\n      <\/div>\n\n      <div id=\"rx-result\" style=\"display:block;border-radius:20px;padding:20px;border:1px solid #e2e8f0;background:#f8fafc;\">\n        <p id=\"rx-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-result-text\" style=\"margin:0 0 8px;\">Zaznacz warunek serologiczny i kryteria kliniczne, a nast\u0119pnie kliknij \u201eOblicz wynik\u201d.<\/p>\n        <p id=\"rx-result-note\" style=\"margin:0;color:#475569;font-size:14px;\">Regu\u0142a: wysokie miano anty-U1 RNP + \u22653 kryteria kliniczne; sam zestaw \u201eobrz\u0119k r\u0105k + Raynaud + akroskleroza\u201d nie wystarcza bez zapalenia b\u0142ony maziowej lub mi\u0119\u015bni.<\/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 MCTD i nie zast\u0119puje pe\u0142nej oceny klinicznej. Edukacyjnie. Nie zast\u0119puje konsultacji lekarskiej.\n      <\/div>\n    <\/div>\n  <\/div>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Kalkulator klasyfikacyjny Mieszana choroba tkanki \u0142\u0105cznej (MCTD) \u2014 Alarc\u00f3n-Segovia i Villarreal Wymagane jest wysokie miano anty-U1 RNP oraz co najmniej 3 kryteria kliniczne. Sam uk\u0142ad: obrz\u0119k r\u0105k + Raynaud + akroskleroza nie wystarcza bez synovitis lub myositis. Warunek wst\u0119pny Czy pacjent ma wysokie miano przeciwcia\u0142 anty-U1 RNP? Nie Tak Kryteria kliniczne Zaznacz wszystkie obecne cechy&#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-323","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/rheumanext.pl\/en\/wp-json\/wp\/v2\/pages\/323","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=323"}],"version-history":[{"count":6,"href":"https:\/\/rheumanext.pl\/en\/wp-json\/wp\/v2\/pages\/323\/revisions"}],"predecessor-version":[{"id":1128,"href":"https:\/\/rheumanext.pl\/en\/wp-json\/wp\/v2\/pages\/323\/revisions\/1128"}],"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=323"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}