{"id":271,"date":"2025-03-08T20:24:56","date_gmt":"2025-03-08T20:24:56","guid":{"rendered":"https:\/\/rheumanext.pl\/?page_id=271"},"modified":"2026-03-14T18:47:30","modified_gmt":"2026-03-14T18:47:30","slug":"kryteria-rozpoznania-reumatoidalnego-zapalenia-stawow-acr-eular-2010r","status":"publish","type":"page","link":"https:\/\/rheumanext.pl\/pl\/kalkulatory\/kryteria\/kryteria-rozpoznania-reumatoidalnego-zapalenia-stawow-acr-eular-2010r\/","title":{"rendered":"Reumatoidalne zapalenie staw\u00f3w (RZS, RA) &#8211; ACR\/EULAR 2010"},"content":{"rendered":"\n<section id=\"rx-ra-acr-eular-2010-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;\">Reumatoidalne zapalenie staw\u00f3w (RZS, RA) \u2014 ACR\/EULAR 2010<\/h2>\n      <p style=\"margin:0;color:#475569;max-width:74ch;\">Kryteria wymagaj\u0105 obecno\u015bci co najmniej 1 stawu z pewnym klinicznym zapaleniem b\u0142ony maziowej oraz braku lepszego rozpoznania wyja\u015bniaj\u0105cego zapalenie staw\u00f3w. Nast\u0119pnie sumuje si\u0119 punkty z 4 domen; wynik \u22656\/10 klasyfikuje RZS.<\/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 pacjent ma co najmniej 1 staw z pewnym klinicznym zapaleniem b\u0142ony maziowej (obrz\u0119kiem) i brak lepszego alternatywnego rozpoznania?<\/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-ra-entry\" id=\"rx-ra-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-ra-entry\" id=\"rx-ra-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. Zaj\u0119cie staw\u00f3w<\/h3>\n        <p style=\"margin:0 0 16px;color:#475569;font-size:14px;\">Wybierz jedn\u0105, najwy\u017csz\u0105 pasuj\u0105c\u0105 kategori\u0119. Ma\u0142e stawy obejmuj\u0105 m.in. MCP, PIP, nadgarstki, IP kciuka i 2\u20135 MTP; DIP, I CMC i I MTP nie s\u0105 liczone.<\/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=\"radio\" name=\"rx-ra-joints\" id=\"rx-ra-joints-0\" value=\"0\" checked style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>1 du\u017cy staw<\/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-ra-joints\" id=\"rx-ra-joints-1\" value=\"1\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>2\u201310 du\u017cych staw\u00f3w<\/strong><br><span style=\"color:#475569;font-size:13px;\">1 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-ra-joints\" id=\"rx-ra-joints-2\" value=\"2\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>1\u20133 ma\u0142e stawy<\/strong><br><span style=\"color:#475569;font-size:13px;\">z lub bez zaj\u0119cia du\u017cych staw\u00f3w \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-ra-joints\" id=\"rx-ra-joints-3\" value=\"3\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>4\u201310 ma\u0142ych staw\u00f3w<\/strong><br><span style=\"color:#475569;font-size:13px;\">z lub bez zaj\u0119cia du\u017cych staw\u00f3w \u2022 3 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=\"radio\" name=\"rx-ra-joints\" id=\"rx-ra-joints-5\" value=\"5\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>&gt;10 staw\u00f3w, w tym \u22651 ma\u0142y staw<\/strong><br><span style=\"color:#475569;font-size:13px;\">5 pkt<\/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. Serologia<\/h3>\n        <p style=\"margin:0 0 16px;color:#475569;font-size:14px;\">Wybierz jedn\u0105 kategori\u0119. Nisko dodatni = powy\u017cej normy, ale \u22643\u00d7 g\u00f3rna granica normy; wysoko dodatni = &gt;3\u00d7 g\u00f3rna granica normy.<\/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=\"radio\" name=\"rx-ra-serology\" id=\"rx-ra-serology-0\" value=\"0\" checked style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>RF ujemny i ACPA ujemny<\/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-ra-serology\" id=\"rx-ra-serology-2\" value=\"2\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Nisko dodatni RF lub ACPA<\/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=\"radio\" name=\"rx-ra-serology\" id=\"rx-ra-serology-3\" value=\"3\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Wysoko dodatni RF lub ACPA<\/strong><br><span style=\"color:#475569;font-size:13px;\">3 pkt<\/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. Reaktanty ostrej fazy<\/h3>\n        <p style=\"margin:0 0 16px;color:#475569;font-size:14px;\">Wybierz jedn\u0105 kategori\u0119.<\/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=\"radio\" name=\"rx-ra-reactants\" id=\"rx-ra-reactants-0\" value=\"0\" checked style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Prawid\u0142owe CRP i OB<\/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-ra-reactants\" id=\"rx-ra-reactants-1\" value=\"1\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Nieprawid\u0142owe CRP lub OB<\/strong><br><span style=\"color:#475569;font-size:13px;\">1 pkt<\/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. Czas trwania objaw\u00f3w<\/h3>\n        <p style=\"margin:0 0 16px;color:#475569;font-size:14px;\">Wybierz jedn\u0105 kategori\u0119.<\/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=\"radio\" name=\"rx-ra-duration\" id=\"rx-ra-duration-0\" value=\"0\" checked style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>&lt;6 tygodni<\/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-ra-duration\" id=\"rx-ra-duration-1\" value=\"1\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>\u22656 tygodni<\/strong><br><span style=\"color:#475569;font-size:13px;\">1 pkt<\/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-ra-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-ra-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-ra-result\" style=\"display:block;border-radius:20px;padding:20px;border:1px solid #e2e8f0;background:#f8fafc;\">\n        <p id=\"rx-ra-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-ra-result-text\" style=\"margin:0 0 8px;\">Zaznacz odpowiedzi, a nast\u0119pnie kliknij Oblicz wynik.<\/p>\n        <p id=\"rx-ra-result-note\" style=\"margin:0;color:#475569;font-size:14px;\">Regu\u0142a: po spe\u0142nieniu warunku wst\u0119pnego zsumuj punkty z 4 domen. Wynik \u22656\/10 klasyfikuje RZS wed\u0142ug ACR\/EULAR 2010.<\/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 RZS 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-ra-calc-btn');\n  var clearBtn = document.getElementById('rx-ra-clear-btn');\n\n  if (!calcBtn || !clearBtn) return;\n\n  function getSelectedValue(name) {\n    var selected = document.querySelector('input[name=\"' + name + '\"]:checked');\n    return selected ? parseInt(selected.value, 10) : 0;\n  }\n\n  calcBtn.addEventListener('click', function () {\n    var entryMet = document.getElementById('rx-ra-entry-yes').checked;\n\n    var jointPoints = getSelectedValue('rx-ra-joints');\n    var serologyPoints = getSelectedValue('rx-ra-serology');\n    var reactantsPoints = getSelectedValue('rx-ra-reactants');\n    var durationPoints = getSelectedValue('rx-ra-duration');\n\n    var total = jointPoints + serologyPoints + reactantsPoints + durationPoints;\n\n    var jointLabel = document.querySelector('input[name=\"rx-ra-joints\"]:checked').parentNode.textContent.trim().replace(\/\\s+\/g, ' ');\n    var serologyLabel = document.querySelector('input[name=\"rx-ra-serology\"]:checked').parentNode.textContent.trim().replace(\/\\s+\/g, ' ');\n    var reactantsLabel = document.querySelector('input[name=\"rx-ra-reactants\"]:checked').parentNode.textContent.trim().replace(\/\\s+\/g, ' ');\n    var durationLabel = document.querySelector('input[name=\"rx-ra-duration\"]:checked').parentNode.textContent.trim().replace(\/\\s+\/g, ' ');\n\n    var result = document.getElementById('rx-ra-result');\n    var title = document.getElementById('rx-ra-result-title');\n    var text = document.getElementById('rx-ra-result-text');\n    var note = document.getElementById('rx-ra-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 ACR\/EULAR 2010 dla RZS nie stosuje si\u0119 bez pewnego klinicznego zapalenia b\u0142ony maziowej w co najmniej 1 stawie oraz po wykluczeniu lepszego rozpoznania alternatywnego.';\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 >= 6) {\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 2010 dla reumatoidalnego zapalenia staw\u00f3w.';\n      note.innerHTML = 'Suma punkt\u00f3w: ' + total + '\/10. Zaj\u0119cie staw\u00f3w: ' + jointLabel + '. Serologia: ' + serologyLabel + '. Reaktanty ostrej fazy: ' + reactantsLabel + '. Czas trwania objaw\u00f3w: ' + durationLabel + '.';\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 RZS wed\u0142ug ACR\/EULAR 2010.';\n      note.innerHTML = 'Suma punkt\u00f3w: ' + total + '\/10. Do klasyfikacji potrzeba co najmniej 6 pkt. Zaj\u0119cie staw\u00f3w: ' + jointLabel + '. Serologia: ' + serologyLabel + '. Reaktanty ostrej fazy: ' + reactantsLabel + '. Czas trwania objaw\u00f3w: ' + durationLabel + '.';\n    }\n  });\n\n  clearBtn.addEventListener('click', function () {\n    document.getElementById('rx-ra-entry-no').checked = true;\n    document.getElementById('rx-ra-joints-0').checked = true;\n    document.getElementById('rx-ra-serology-0').checked = true;\n    document.getElementById('rx-ra-reactants-0').checked = true;\n    document.getElementById('rx-ra-duration-0').checked = true;\n\n    document.getElementById('rx-ra-result').style.display = 'block';\n    document.getElementById('rx-ra-result').style.background = '#f8fafc';\n    document.getElementById('rx-ra-result').style.border = '1px solid #e2e8f0';\n    document.getElementById('rx-ra-result-title').style.color = '#0f172a';\n    document.getElementById('rx-ra-result-title').innerHTML = 'Wynik pojawi si\u0119 tutaj';\n    document.getElementById('rx-ra-result-text').innerHTML = 'Zaznacz odpowiedzi, a nast\u0119pnie kliknij Oblicz wynik.';\n    document.getElementById('rx-ra-result-note').innerHTML = 'Regu\u0142a: po spe\u0142nieniu warunku wst\u0119pnego zsumuj punkty z 4 domen. Wynik \u22656\/10 klasyfikuje RZS wed\u0142ug ACR\/EULAR 2010.';\n  });\n})();\n<\/script>\n\n","protected":false},"excerpt":{"rendered":"<p>Kalkulator klasyfikacyjny Reumatoidalne zapalenie staw\u00f3w (RZS, RA) \u2014 ACR\/EULAR 2010 Kryteria wymagaj\u0105 obecno\u015bci co najmniej 1 stawu z pewnym klinicznym zapaleniem b\u0142ony maziowej oraz braku lepszego rozpoznania wyja\u015bniaj\u0105cego zapalenie staw\u00f3w. Nast\u0119pnie sumuje si\u0119 punkty z 4 domen; wynik \u22656\/10 klasyfikuje RZS. 1. Warunek wst\u0119pny Czy pacjent ma co najmniej 1 staw z pewnym klinicznym zapaleniem&#8230;<\/p>\n","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-271","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/rheumanext.pl\/pl\/wp-json\/wp\/v2\/pages\/271","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/rheumanext.pl\/pl\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/rheumanext.pl\/pl\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/rheumanext.pl\/pl\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/rheumanext.pl\/pl\/wp-json\/wp\/v2\/comments?post=271"}],"version-history":[{"count":7,"href":"https:\/\/rheumanext.pl\/pl\/wp-json\/wp\/v2\/pages\/271\/revisions"}],"predecessor-version":[{"id":1138,"href":"https:\/\/rheumanext.pl\/pl\/wp-json\/wp\/v2\/pages\/271\/revisions\/1138"}],"up":[{"embeddable":true,"href":"https:\/\/rheumanext.pl\/pl\/wp-json\/wp\/v2\/pages\/980"}],"wp:attachment":[{"href":"https:\/\/rheumanext.pl\/pl\/wp-json\/wp\/v2\/media?parent=271"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}