{"id":331,"date":"2025-03-08T21:47:38","date_gmt":"2025-03-08T21:47:38","guid":{"rendered":"https:\/\/rheumanext.pl\/?page_id=331"},"modified":"2026-03-14T18:24:31","modified_gmt":"2026-03-14T18:24:31","slug":"mieszana-choroba-tkanki-lacznej-tanaka","status":"publish","type":"page","link":"https:\/\/rheumanext.pl\/en\/kalkulatory\/kryteria\/mieszana-choroba-tkanki-lacznej-tanaka\/","title":{"rendered":"Mieszana choroba tkanki \u0142\u0105cznej (MCTD) &#8211; Tanaka"},"content":{"rendered":"<section id=\"rx-mctd-tanaka-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 Tanaka<\/h2>\n      <p style=\"margin:0;color:#475569;max-width:74ch;\">Wymagane s\u0105 dodatnie przeciwcia\u0142a anty-U1 RNP oraz co najmniej 1 objaw wsp\u00f3lny. Nast\u0119pnie potrzebne jest albo co najmniej 1 charakterystyczne zaj\u0119cie narz\u0105dowe, albo cechy z co najmniej 2 grup overlapu.<\/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. Manifestacja immunologiczna<\/h3>\n        <p style=\"margin:0 0 16px;color:#475569;font-size:14px;\">Czy pacjent ma dodatnie przeciwcia\u0142a 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-tanaka-u1rnp\" id=\"rx-tanaka-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-tanaka-u1rnp\" id=\"rx-tanaka-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;\">2. Objawy wsp\u00f3lne<\/h3>\n        <p style=\"margin:0 0 16px;color:#475569;font-size:14px;\">Potrzebny jest co najmniej 1 objaw wsp\u00f3lny.<\/p>\n\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-tanaka-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-tanaka-puffy\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Obrz\u0119k palc\u00f3w \/ obrz\u0119k r\u0105k<\/strong><br><span style=\"color:#475569;font-size:13px;\">Puffy fingers and\/or swollen hands<\/span><\/span>\n          <\/label>\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;\">3. Charakterystyczne zaj\u0119cie narz\u0105dowe<\/h3>\n        <p style=\"margin:0 0 16px;color:#475569;font-size:14px;\">Ju\u017c 1 z poni\u017cszych cech spe\u0142nia ten element kryteri\u00f3w.<\/p>\n\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-tanaka-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;\">Pulmonary arterial hypertension<\/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-tanaka-meningitis\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Aseptyczne zapalenie opon m\u00f3zgowo-rdzeniowych<\/strong><br><span style=\"color:#475569;font-size:13px;\">Aseptic meningitis<\/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-tanaka-trigeminal\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Neuropatia nerwu tr\u00f3jdzielnego<\/strong><br><span style=\"color:#475569;font-size:13px;\">Trigeminal neuropathy<\/span><\/span>\n          <\/label>\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;\">4. Manifestacje overlap \u2014 SLE-like<\/h3>\n        <p style=\"margin:0 0 16px;color:#475569;font-size:14px;\">Do zaliczenia tej grupy wystarczy co najmniej 1 cecha.<\/p>\n\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-tanaka-polyarthritis\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Wielostawowe zapalenie staw\u00f3w<\/strong><br><span style=\"color:#475569;font-size:13px;\">Polyarthritis<\/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-tanaka-lymphadenopathy\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Limfadenopatia<\/strong><br><span style=\"color:#475569;font-size:13px;\">Lymphadenopathy<\/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-tanaka-malar\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Rumie\u0144 malar<\/strong><br><span style=\"color:#475569;font-size:13px;\">Malar rash<\/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-tanaka-serositis\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Zapalenie op\u0142ucnej lub osierdzia<\/strong><br><span style=\"color:#475569;font-size:13px;\">Pleuritis or pericarditis<\/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-tanaka-cytopenia\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Leukopenia lub ma\u0142op\u0142ytkowo\u015b\u0107<\/strong><br><span style=\"color:#475569;font-size:13px;\">Leukopenia \u22644000\/\u03bcL lub thrombocytopenia \u2264100 000\/\u03bcL<\/span><\/span>\n          <\/label>\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;\">5. Manifestacje overlap \u2014 SSc-like<\/h3>\n        <p style=\"margin:0 0 16px;color:#475569;font-size:14px;\">Do zaliczenia tej grupy wystarczy co najmniej 1 cecha.<\/p>\n\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-tanaka-sclerodactyly\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Sklerodaktylia<\/strong><br><span style=\"color:#475569;font-size:13px;\">Sclerodactyly<\/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-tanaka-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;\">Interstitial lung disease<\/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-tanaka-esophagus\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Zaburzenia motoryki lub poszerzenie prze\u0142yku<\/strong><br><span style=\"color:#475569;font-size:13px;\">Esophageal dysmotility or dilatation<\/span><\/span>\n          <\/label>\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;\">6. Manifestacje overlap \u2014 PM\/DM-like<\/h3>\n        <p style=\"margin:0 0 16px;color:#475569;font-size:14px;\">Do zaliczenia tej grupy wystarczy co najmniej 1 cecha.<\/p>\n\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-tanaka-weakness\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Os\u0142abienie mi\u0119\u015bni<\/strong><br><span style=\"color:#475569;font-size:13px;\">Muscle weakness<\/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-tanaka-enzymes\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Podwy\u017cszone enzymy mi\u0119\u015bniowe<\/strong><br><span style=\"color:#475569;font-size:13px;\">Elevated myogenic enzymes<\/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-tanaka-emg\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Miogenny zapis EMG<\/strong><br><span style=\"color:#475569;font-size:13px;\">Myogenic abnormalities on electromyogram<\/span><\/span>\n          <\/label>\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;\">7. Markery przemawiaj\u0105ce za inn\u0105 CTD \u2014 opcjonalnie<\/h3>\n        <p style=\"margin:0 0 16px;color:#475569;font-size:14px;\">Nie zmieniaj\u0105 automatycznie wyniku, ale dodaj\u0105 ostrze\u017cenie interpretacyjne.<\/p>\n\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-tanaka-caution-sle\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Anty-dsDNA lub anty-Sm<\/strong><br><span style=\"color:#475569;font-size:13px;\">markery bardziej swoiste dla SLE<\/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-tanaka-caution-ssc\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Anty-Scl-70 lub anty-RNA pol III<\/strong><br><span style=\"color:#475569;font-size:13px;\">markery bardziej swoiste dla SSc<\/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-tanaka-caution-myo\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Anty-ARS lub anty-MDA5<\/strong><br><span style=\"color:#475569;font-size:13px;\">markery bardziej swoiste dla idiopatycznych miopatii zapalnych<\/span><\/span>\n          <\/label>\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-tanaka-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-tanaka-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-tanaka-result\" style=\"display:block;border-radius:20px;padding:20px;border:1px solid #e2e8f0;background:#f8fafc;\">\n        <p id=\"rx-tanaka-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-tanaka-result-text\" style=\"margin:0 0 8px;\">Zaznacz odpowiedzi, a nast\u0119pnie kliknij Oblicz wynik.<\/p>\n        <p id=\"rx-tanaka-result-note\" style=\"margin:0;color:#475569;font-size:14px;\">Regu\u0142a: dodatnie anty-U1 RNP + co najmniej 1 objaw wsp\u00f3lny + (co najmniej 1 charakterystyczne zaj\u0119cie narz\u0105dowe lub cechy z co najmniej 2 grup overlapu).<\/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. Wynik nale\u017cy interpretowa\u0107 w kontek\u015bcie obrazu klinicznego oraz diagnostyki r\u00f3\u017cnicowej. 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-tanaka-calc-btn');\n  var clearBtn = document.getElementById('rx-tanaka-clear-btn');\n\n  if (!calcBtn || !clearBtn) return;\n\n  calcBtn.addEventListener('click', function () {\n    var hasU1 = document.getElementById('rx-tanaka-u1rnp-yes').checked;\n\n    var raynaud = document.getElementById('rx-tanaka-raynaud').checked;\n    var puffy = document.getElementById('rx-tanaka-puffy').checked;\n    var hasCommon = raynaud || puffy;\n    var commonList = [];\n    if (raynaud) commonList.push('objaw Raynauda');\n    if (puffy) commonList.push('obrz\u0119k palc\u00f3w \/ r\u0105k');\n\n    var pah = document.getElementById('rx-tanaka-pah').checked;\n    var meningitis = document.getElementById('rx-tanaka-meningitis').checked;\n    var trigeminal = document.getElementById('rx-tanaka-trigeminal').checked;\n    var organList = [];\n    if (pah) organList.push('nadci\u015bnienie t\u0119tnicze p\u0142ucne');\n    if (meningitis) organList.push('aseptyczne zapalenie opon m\u00f3zgowo-rdzeniowych');\n    if (trigeminal) organList.push('neuropatia nerwu tr\u00f3jdzielnego');\n    var organCount = organList.length;\n    var hasOrgan = organCount >= 1;\n\n    var sleGroup =\n      document.getElementById('rx-tanaka-polyarthritis').checked ||\n      document.getElementById('rx-tanaka-lymphadenopathy').checked ||\n      document.getElementById('rx-tanaka-malar').checked ||\n      document.getElementById('rx-tanaka-serositis').checked ||\n      document.getElementById('rx-tanaka-cytopenia').checked;\n\n    var sscGroup =\n      document.getElementById('rx-tanaka-sclerodactyly').checked ||\n      document.getElementById('rx-tanaka-ild').checked ||\n      document.getElementById('rx-tanaka-esophagus').checked;\n\n    var myoGroup =\n      document.getElementById('rx-tanaka-weakness').checked ||\n      document.getElementById('rx-tanaka-enzymes').checked ||\n      document.getElementById('rx-tanaka-emg').checked;\n\n    var overlapGroups = (sleGroup ? 1 : 0) + (sscGroup ? 1 : 0) + (myoGroup ? 1 : 0);\n    var overlapMet = overlapGroups >= 2;\n    var overlapList = [];\n    if (sleGroup) overlapList.push('SLE-like');\n    if (sscGroup) overlapList.push('SSc-like');\n    if (myoGroup) overlapList.push('PM\/DM-like');\n\n    var cautionList = [];\n    if (document.getElementById('rx-tanaka-caution-sle').checked) cautionList.push('markery bardziej swoiste dla SLE');\n    if (document.getElementById('rx-tanaka-caution-ssc').checked) cautionList.push('markery bardziej swoiste dla SSc');\n    if (document.getElementById('rx-tanaka-caution-myo').checked) cautionList.push('markery bardziej swoiste dla idiopatycznych miopatii zapalnych');\n    var caution = cautionList.length > 0;\n\n    var result = document.getElementById('rx-tanaka-result');\n    var title = document.getElementById('rx-tanaka-result-title');\n    var text = document.getElementById('rx-tanaka-result-text');\n    var note = document.getElementById('rx-tanaka-result-note');\n\n    result.style.display = 'block';\n\n    if (!hasU1) {\n      result.style.background = '#fef2f2';\n      result.style.border = '1px solid #fecaca';\n      title.style.color = '#991b1b';\n      title.innerHTML = 'Kryteria niespe\u0142nione';\n      text.innerHTML = 'Nie spe\u0142niono wymogu immunologicznego: brak dodatnich przeciwcia\u0142 anty-U1 RNP.';\n      note.innerHTML = 'W kryteriach Tanaki dodatnie anty-U1 RNP jest warunkiem koniecznym.';\n    } else if (!hasCommon) {\n      result.style.background = '#fef2f2';\n      result.style.border = '1px solid #fecaca';\n      title.style.color = '#991b1b';\n      title.innerHTML = 'Kryteria niespe\u0142nione';\n      text.innerHTML = 'Brakuje objawu wsp\u00f3lnego. Potrzebny jest co najmniej 1 z 2: objaw Raynauda lub obrz\u0119k palc\u00f3w \/ r\u0105k.';\n      note.innerHTML = 'Dodatnie anty-U1 RNP samo nie wystarcza do spe\u0142nienia kryteri\u00f3w Tanaki.';\n    } else if (hasOrgan) {\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 Tanaki dla MCTD \u015bcie\u017ck\u0105 zaj\u0119cia narz\u0105dowego.';\n      note.innerHTML = 'Objawy wsp\u00f3lne: ' + commonList.join(', ') + '. Zaj\u0119cie narz\u0105dowe: ' + organList.join(', ') + '.';\n      if (caution) {\n        note.innerHTML += ' Uwaga interpretacyjna: zaznaczono tak\u017ce ' + cautionList.join(' oraz ') + '.';\n      }\n    } else if (overlapMet) {\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 Tanaki dla MCTD \u015bcie\u017ck\u0105 overlapu.';\n      note.innerHTML = 'Objawy wsp\u00f3lne: ' + commonList.join(', ') + '. Spe\u0142nione grupy overlapu: ' + overlapList.join(', ') + ' (' + overlapGroups + '\/3).';\n      if (caution) {\n        note.innerHTML += ' Uwaga interpretacyjna: zaznaczono tak\u017ce ' + cautionList.join(' oraz ') + '.';\n      }\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 = 'Przy dodatnim anty-U1 RNP i obecnym objawie wsp\u00f3lnym nie zaznaczono ani charakterystycznego zaj\u0119cia narz\u0105dowego, ani cech z co najmniej 2 grup overlapu.';\n      note.innerHTML = 'Objawy wsp\u00f3lne: ' + commonList.join(', ') + '. Spe\u0142nione grupy overlapu: ' + (overlapList.length ? overlapList.join(', ') : 'brak') + ' (' + overlapGroups + '\/3).';\n      if (caution) {\n        note.innerHTML += ' Dodatkowo zaznaczono ' + cautionList.join(' oraz ') + ', co wymaga ostro\u017cnej interpretacji.';\n      }\n    }\n  });\n\n  clearBtn.addEventListener('click', function () {\n    document.getElementById('rx-tanaka-u1rnp-no').checked = true;\n\n    document.getElementById('rx-tanaka-raynaud').checked = false;\n    document.getElementById('rx-tanaka-puffy').checked = false;\n\n    document.getElementById('rx-tanaka-pah').checked = false;\n    document.getElementById('rx-tanaka-meningitis').checked = false;\n    document.getElementById('rx-tanaka-trigeminal').checked = false;\n\n    document.getElementById('rx-tanaka-polyarthritis').checked = false;\n    document.getElementById('rx-tanaka-lymphadenopathy').checked = false;\n    document.getElementById('rx-tanaka-malar').checked = false;\n    document.getElementById('rx-tanaka-serositis').checked = false;\n    document.getElementById('rx-tanaka-cytopenia').checked = false;\n\n    document.getElementById('rx-tanaka-sclerodactyly').checked = false;\n    document.getElementById('rx-tanaka-ild').checked = false;\n    document.getElementById('rx-tanaka-esophagus').checked = false;\n\n    document.getElementById('rx-tanaka-weakness').checked = false;\n    document.getElementById('rx-tanaka-enzymes').checked = false;\n    document.getElementById('rx-tanaka-emg').checked = false;\n\n    document.getElementById('rx-tanaka-caution-sle').checked = false;\n    document.getElementById('rx-tanaka-caution-ssc').checked = false;\n    document.getElementById('rx-tanaka-caution-myo').checked = false;\n\n    document.getElementById('rx-tanaka-result').style.display = 'block';\n    document.getElementById('rx-tanaka-result').style.background = '#f8fafc';\n    document.getElementById('rx-tanaka-result').style.border = '1px solid #e2e8f0';\n    document.getElementById('rx-tanaka-result-title').style.color = '#0f172a';\n    document.getElementById('rx-tanaka-result-title').innerHTML = 'Wynik pojawi si\u0119 tutaj';\n    document.getElementById('rx-tanaka-result-text').innerHTML = 'Zaznacz odpowiedzi, a nast\u0119pnie kliknij Oblicz wynik.';\n    document.getElementById('rx-tanaka-result-note').innerHTML = 'Regu\u0142a: dodatnie anty-U1 RNP + co najmniej 1 objaw wsp\u00f3lny + (co najmniej 1 charakterystyczne zaj\u0119cie narz\u0105dowe lub cechy z co najmniej 2 grup overlapu).';\n  });\n})();\n<\/script>","protected":false},"excerpt":{"rendered":"<p>Kalkulator klasyfikacyjny Mieszana choroba tkanki \u0142\u0105cznej (MCTD) \u2014 Tanaka Wymagane s\u0105 dodatnie przeciwcia\u0142a anty-U1 RNP oraz co najmniej 1 objaw wsp\u00f3lny. Nast\u0119pnie potrzebne jest albo co najmniej 1 charakterystyczne zaj\u0119cie narz\u0105dowe, albo cechy z co najmniej 2 grup overlapu. 1. Manifestacja immunologiczna Czy pacjent ma dodatnie przeciwcia\u0142a anty-U1 RNP? Nie Tak 2. Objawy wsp\u00f3lne Potrzebny&#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-331","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/rheumanext.pl\/en\/wp-json\/wp\/v2\/pages\/331","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=331"}],"version-history":[{"count":7,"href":"https:\/\/rheumanext.pl\/en\/wp-json\/wp\/v2\/pages\/331\/revisions"}],"predecessor-version":[{"id":1134,"href":"https:\/\/rheumanext.pl\/en\/wp-json\/wp\/v2\/pages\/331\/revisions\/1134"}],"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=331"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}