{"id":363,"date":"2025-03-08T23:32:25","date_gmt":"2025-03-08T23:32:25","guid":{"rendered":"https:\/\/rheumanext.pl\/?page_id=363"},"modified":"2026-03-14T18:38:39","modified_gmt":"2026-03-14T18:38:39","slug":"mikroskopowe-zapalenie-naczyn-acr-eular-2022","status":"publish","type":"page","link":"https:\/\/rheumanext.pl\/en\/kalkulatory\/kryteria\/mikroskopowe-zapalenie-naczyn-acr-eular-2022\/","title":{"rendered":"Mikroskopowe zapalenie naczy\u0144 (MPA) &#8211; ACR\/EULAR 2022"},"content":{"rendered":"<section id=\"rx-mpa-acr-eular-2022-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;\">Mikroskopowe zapalenie naczy\u0144 (MPA) \u2014 ACR\/EULAR 2022<\/h2>\n      <p style=\"margin:0;color:#475569;max-width:74ch;\">Kryteria stosuje si\u0119 po wykluczeniu rozpozna\u0144 na\u015bladuj\u0105cych zapalenie naczy\u0144 oraz przy rozpoznaniu zapalenia naczy\u0144 ma\u0142ych lub \u015brednich naczy\u0144. Wynik klasyfikacyjny dla MPA uzyskuje si\u0119 przy sumie \u22655 punkt\u00f3w.<\/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. Warunek wst\u0119pny<\/h3>\n        <p style=\"margin:0 0 16px;color:#475569;font-size:14px;\">Czy rozpoznano zapalenie naczy\u0144 ma\u0142ych lub \u015brednich naczy\u0144 oraz wykluczono rozpoznania na\u015bladuj\u0105ce zapalenie naczy\u0144?<\/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-mpa-entry\" id=\"rx-mpa-entry-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-mpa-entry\" id=\"rx-mpa-entry-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. Kryteria punktowane<\/h3>\n        <p style=\"margin:0 0 16px;color:#475569;font-size:14px;\">Zaznacz wszystkie obecne kryteria. Punkty dodatnie i ujemne sumuj\u0105 si\u0119.<\/p>\n\n        <div style=\"display:grid;gap:20px;\">\n          <div>\n            <p style=\"margin:0 0 12px;font-weight:800;color:#0f172a;\">A. Kliniczne<\/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-mpa-nasal\" style=\"margin-top:3px;accent-color:#0f766e;\">\n                <span><strong>Objawy lub cechy zatokowo-nosowe<\/strong><br><span style=\"color:#475569;font-size:13px;\">Sino-nasal symptoms or signs<\/span><br><span style=\"color:#92400e;font-size:13px;\">\u22123 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. Serologia \/ morfologia<\/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-mpa-mpo\" style=\"margin-top:3px;accent-color:#0f766e;\">\n                <span><strong>Dodatni p-ANCA lub anty-MPO<\/strong><br><span style=\"color:#475569;font-size:13px;\">p-ANCA or anti-MPO positivity<\/span><br><span style=\"color:#166534;font-size:13px;\">+6 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-mpa-pr3\" style=\"margin-top:3px;accent-color:#0f766e;\">\n                <span><strong>Dodatni c-ANCA lub anty-PR3<\/strong><br><span style=\"color:#475569;font-size:13px;\">c-ANCA or anti-PR3 positivity<\/span><br><span style=\"color:#92400e;font-size:13px;\">\u22121 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;grid-column:1\/-1;\">\n                <input type=\"checkbox\" id=\"rx-mpa-eos\" style=\"margin-top:3px;accent-color:#0f766e;\">\n                <span><strong>Eozynofile \u22651 \u00d7 10\u2079\/l<\/strong><br><span style=\"color:#475569;font-size:13px;\">Eosinophil count \u22651 \u00d7 10\u2079\/l<\/span><br><span style=\"color:#92400e;font-size:13px;\">\u22124 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. Histopatologia<\/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-mpa-gn\" style=\"margin-top:3px;accent-color:#0f766e;\">\n                <span><strong>Pauci-immune k\u0142\u0119buszkowe zapalenie nerek w biopsji<\/strong><br><span style=\"color:#475569;font-size:13px;\">Pauci-immune glomerulonephritis<\/span><br><span style=\"color:#166534;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. Obrazowanie klatki piersiowej<\/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-mpa-ild\" style=\"margin-top:3px;accent-color:#0f766e;\">\n                <span><strong>W\u0142\u00f3knienie p\u0142uc lub \u015br\u00f3dmi\u0105\u017cszowa choroba p\u0142uc<\/strong><br><span style=\"color:#475569;font-size:13px;\">Lung fibrosis or interstitial lung disease<\/span><br><span style=\"color:#166534;font-size:13px;\">+3 pkt<\/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-mpa-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-mpa-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-mpa-result\" style=\"display:block;border-radius:20px;padding:20px;border:1px solid #e2e8f0;background:#f8fafc;\">\n        <p id=\"rx-mpa-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-mpa-result-text\" style=\"margin:0 0 8px;\">Zaznacz odpowiedzi, a nast\u0119pnie kliknij Oblicz wynik.<\/p>\n        <p id=\"rx-mpa-result-note\" style=\"margin:0;color:#475569;font-size:14px;\">Regu\u0142a: po spe\u0142nieniu warunku wst\u0119pnego zsumuj punkty. Wynik \u22655 pkt klasyfikuje MPA wed\u0142ug ACR\/EULAR 2022.<\/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 MPA 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-mpa-calc-btn');\n  var clearBtn = document.getElementById('rx-mpa-clear-btn');\n\n  if (!calcBtn || !clearBtn) return;\n\n  calcBtn.addEventListener('click', function () {\n    var entryMet = document.getElementById('rx-mpa-entry-yes').checked;\n\n    var nasal = document.getElementById('rx-mpa-nasal').checked;\n    var mpo = document.getElementById('rx-mpa-mpo').checked;\n    var pr3 = document.getElementById('rx-mpa-pr3').checked;\n    var eos = document.getElementById('rx-mpa-eos').checked;\n    var gn = document.getElementById('rx-mpa-gn').checked;\n    var ild = document.getElementById('rx-mpa-ild').checked;\n\n    var total = 0;\n    var positiveList = [];\n    var negativeList = [];\n\n    if (nasal) {\n      total -= 3;\n      negativeList.push('objawy lub cechy zatokowo-nosowe (\u22123)');\n    }\n    if (mpo) {\n      total += 6;\n      positiveList.push('dodatni p-ANCA lub anty-MPO (+6)');\n    }\n    if (pr3) {\n      total -= 1;\n      negativeList.push('dodatni c-ANCA lub anty-PR3 (\u22121)');\n    }\n    if (eos) {\n      total -= 4;\n      negativeList.push('eozynofile \u22651 \u00d7 10\u2079\/l (\u22124)');\n    }\n    if (gn) {\n      total += 3;\n      positiveList.push('pauci-immune k\u0142\u0119buszkowe zapalenie nerek w biopsji (+3)');\n    }\n    if (ild) {\n      total += 3;\n      positiveList.push('w\u0142\u00f3knienie p\u0142uc lub \u015br\u00f3dmi\u0105\u017cszowa choroba p\u0142uc (+3)');\n    }\n\n    var result = document.getElementById('rx-mpa-result');\n    var title = document.getElementById('rx-mpa-result-title');\n    var text = document.getElementById('rx-mpa-result-text');\n    var note = document.getElementById('rx-mpa-result-note');\n\n    result.style.display = 'block';\n\n    if (!entryMet) {\n      result.style.background = '#fef2f2';\n      result.style.border = '1px solid #fecaca';\n      title.style.color = '#991b1b';\n      title.innerHTML = 'Warunek wst\u0119pny niespe\u0142niony';\n      text.innerHTML = 'Kryteri\u00f3w MPA ACR\/EULAR 2022 nie stosuje si\u0119 bez rozpoznania zapalenia naczy\u0144 ma\u0142ych lub \u015brednich naczy\u0144 oraz wykluczenia rozpozna\u0144 na\u015bladuj\u0105cych zapalenie naczy\u0144.';\n      note.innerHTML = 'Najpierw musi by\u0107 spe\u0142niony warunek wej\u015bciowy, dopiero potem interpretuje si\u0119 wynik punktowy.';\n      return;\n    }\n\n    if (total >= 5) {\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 klasyfikacyjne ACR\/EULAR 2022 dla MPA.';\n      note.innerHTML = 'Suma punkt\u00f3w: ' + total + '.';\n      if (positiveList.length) {\n        note.innerHTML += ' Kryteria dodatnie: ' + positiveList.join(', ') + '.';\n      }\n      if (negativeList.length) {\n        note.innerHTML += ' Kryteria ujemne: ' + negativeList.join(', ') + '.';\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 = 'Nie osi\u0105gni\u0119to progu klasyfikacyjnego dla MPA wed\u0142ug ACR\/EULAR 2022.';\n      note.innerHTML = 'Suma punkt\u00f3w: ' + total + '. Do klasyfikacji potrzeba co najmniej 5 pkt.';\n      if (positiveList.length) {\n        note.innerHTML += ' Kryteria dodatnie: ' + positiveList.join(', ') + '.';\n      }\n      if (negativeList.length) {\n        note.innerHTML += ' Kryteria ujemne: ' + negativeList.join(', ') + '.';\n      }\n    }\n  });\n\n  clearBtn.addEventListener('click', function () {\n    document.getElementById('rx-mpa-entry-no').checked = true;\n\n    document.getElementById('rx-mpa-nasal').checked = false;\n    document.getElementById('rx-mpa-mpo').checked = false;\n    document.getElementById('rx-mpa-pr3').checked = false;\n    document.getElementById('rx-mpa-eos').checked = false;\n    document.getElementById('rx-mpa-gn').checked = false;\n    document.getElementById('rx-mpa-ild').checked = false;\n\n    document.getElementById('rx-mpa-result').style.display = 'block';\n    document.getElementById('rx-mpa-result').style.background = '#f8fafc';\n    document.getElementById('rx-mpa-result').style.border = '1px solid #e2e8f0';\n    document.getElementById('rx-mpa-result-title').style.color = '#0f172a';\n    document.getElementById('rx-mpa-result-title').innerHTML = 'Wynik pojawi si\u0119 tutaj';\n    document.getElementById('rx-mpa-result-text').innerHTML = 'Zaznacz odpowiedzi, a nast\u0119pnie kliknij Oblicz wynik.';\n    document.getElementById('rx-mpa-result-note').innerHTML = 'Regu\u0142a: po spe\u0142nieniu warunku wst\u0119pnego zsumuj punkty. Wynik \u22655 pkt klasyfikuje MPA wed\u0142ug ACR\/EULAR 2022.';\n  });\n})();\n<\/script>","protected":false},"excerpt":{"rendered":"<p>Kalkulator klasyfikacyjny Mikroskopowe zapalenie naczy\u0144 (MPA) \u2014 ACR\/EULAR 2022 Kryteria stosuje si\u0119 po wykluczeniu rozpozna\u0144 na\u015bladuj\u0105cych zapalenie naczy\u0144 oraz przy rozpoznaniu zapalenia naczy\u0144 ma\u0142ych lub \u015brednich naczy\u0144. Wynik klasyfikacyjny dla MPA uzyskuje si\u0119 przy sumie \u22655 punkt\u00f3w. 1. Warunek wst\u0119pny Czy rozpoznano zapalenie naczy\u0144 ma\u0142ych lub \u015brednich naczy\u0144 oraz wykluczono rozpoznania na\u015bladuj\u0105ce zapalenie naczy\u0144? Nie&#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-363","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/rheumanext.pl\/en\/wp-json\/wp\/v2\/pages\/363","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=363"}],"version-history":[{"count":4,"href":"https:\/\/rheumanext.pl\/en\/wp-json\/wp\/v2\/pages\/363\/revisions"}],"predecessor-version":[{"id":1136,"href":"https:\/\/rheumanext.pl\/en\/wp-json\/wp\/v2\/pages\/363\/revisions\/1136"}],"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=363"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}