{"id":276,"date":"2025-03-08T20:38:53","date_gmt":"2025-03-08T20:38:53","guid":{"rendered":"https:\/\/rheumanext.pl\/?page_id=276"},"modified":"2026-03-14T20:54:39","modified_gmt":"2026-03-14T20:54:39","slug":"kryteria-rozpoznania-luszczycowego-zapalenia-stawow-caspar","status":"publish","type":"page","link":"https:\/\/rheumanext.pl\/pl\/kalkulatory\/kryteria\/kryteria-rozpoznania-luszczycowego-zapalenia-stawow-caspar\/","title":{"rendered":"\u0141uszczycowe zapalenie staw\u00f3w (\u0141ZS, PSA) &#8211; CASPAR"},"content":{"rendered":"\n<section id=\"rx-psa-caspar-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;\">\u0141uszczycowe zapalenie staw\u00f3w (\u0141ZS, PsA) \u2014 CASPAR<\/h2>\n      <p style=\"margin:0;color:#475569;max-width:76ch;\">Kryteria CASPAR wymagaj\u0105 zapalnej choroby narz\u0105du ruchu oraz co najmniej 3 punkt\u00f3w z cech dodatkowych. Aktualna \u0142uszczyca jest punktowana najwy\u017cej i daje 2 punkty.<\/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 zapaln\u0105 chorob\u0119 narz\u0105du ruchu: staw\u00f3w obwodowych, kr\u0119gos\u0142upa lub entez?<\/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-psa-entry\" id=\"rx-psa-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-psa-entry\" id=\"rx-psa-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. \u0141uszczyca<\/h3>\n        <p style=\"margin:0 0 16px;color:#475569;font-size:14px;\">Wybierz jedn\u0105 najwy\u017cej pasuj\u0105c\u0105 odpowied\u017a. Ta grupa punktuje si\u0119 tylko raz.<\/p>\n\n        <div style=\"display:grid;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-psa-psoriasis\" id=\"rx-psa-psoriasis-none\" value=\"0\" 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-psa-psoriasis\" id=\"rx-psa-psoriasis-current\" value=\"2\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Aktualna \u0142uszczyca<\/strong><br><span style=\"color:#475569;font-size:13px;\">Current psoriasis \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-psa-psoriasis\" id=\"rx-psa-psoriasis-history\" value=\"1\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>\u0141uszczyca w wywiadzie<\/strong><br><span style=\"color:#475569;font-size:13px;\">Personal history of psoriasis \u2022 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-psa-psoriasis\" id=\"rx-psa-psoriasis-family\" value=\"1\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Wywiad rodzinny \u0142uszczycy<\/strong><br><span style=\"color:#475569;font-size:13px;\">Family history of psoriasis \u2022 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;\">3. Pozosta\u0142e cechy punktowane<\/h3>\n        <p style=\"margin:0 0 16px;color:#475569;font-size:14px;\">Zaznacz wszystkie obecne cechy. Ka\u017cda z nich daje 1 punkt.<\/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-psa-nails\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Dystrofia paznokci<\/strong><br><span style=\"color:#475569;font-size:13px;\">np. naparstkowanie, onycholiza, hiperkeratoza<\/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-psa-rf-negative\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>RF ujemny<\/strong><br><span style=\"color:#475569;font-size:13px;\">Negative rheumatoid factor<\/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-psa-dactylitis\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Daktylitis<\/strong><br><span style=\"color:#475569;font-size:13px;\">aktualne lub w wywiadzie udokumentowane przez lekarza<\/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-psa-xray\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Nowotworzenie ko\u015bci przy stawie w RTG<\/strong><br><span style=\"color:#475569;font-size:13px;\">juxta-articular new bone formation w RTG r\u0119ki lub stopy<\/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-psa-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-psa-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-psa-result\" style=\"display:block;border-radius:20px;padding:20px;border:1px solid #e2e8f0;background:#f8fafc;\">\n        <p id=\"rx-psa-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-psa-result-text\" style=\"margin:0 0 8px;\">Zaznacz odpowiedzi, a nast\u0119pnie kliknij \u201eOblicz wynik\u201d.<\/p>\n        <p id=\"rx-psa-result-note\" style=\"margin:0;color:#475569;font-size:14px;\">Regu\u0142a: zapalna choroba narz\u0105du ruchu + co najmniej 3 punkty = CASPAR spe\u0142nione.<\/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 \u0141ZS \/ PsA 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-psa-calc-btn');\n  var clearBtn = document.getElementById('rx-psa-clear-btn');\n\n  if (!calcBtn || !clearBtn) return;\n\n  calcBtn.addEventListener('click', function () {\n    var entryMet = document.getElementById('rx-psa-entry-yes').checked;\n    var psoriasisPoints = parseInt(document.querySelector('input[name=\"rx-psa-psoriasis\"]:checked').value, 10);\n\n    var nails = document.getElementById('rx-psa-nails').checked ? 1 : 0;\n    var rfNegative = document.getElementById('rx-psa-rf-negative').checked ? 1 : 0;\n    var dactylitis = document.getElementById('rx-psa-dactylitis').checked ? 1 : 0;\n    var xray = document.getElementById('rx-psa-xray').checked ? 1 : 0;\n\n    var total = psoriasisPoints + nails + rfNegative + dactylitis + xray;\n\n    var result = document.getElementById('rx-psa-result');\n    var title = document.getElementById('rx-psa-result-title');\n    var text = document.getElementById('rx-psa-result-text');\n    var note = document.getElementById('rx-psa-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 = 'CASPAR nie stosuje si\u0119 bez zapalnej choroby narz\u0105du ruchu.';\n      note.innerHTML = 'Najpierw musi by\u0107 obecna zapalna choroba staw\u00f3w obwodowych, kr\u0119gos\u0142upa lub entez.';\n      return;\n    }\n\n    if (total >= 3) {\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 CASPAR dla \u0142uszczycowego zapalenia staw\u00f3w.';\n      note.innerHTML = 'Suma punkt\u00f3w: ' + total + '.';\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 wymaganego progu punktowego CASPAR.';\n      note.innerHTML = 'Suma punkt\u00f3w: ' + total + '. Do spe\u0142nienia kryteri\u00f3w potrzeba co najmniej 3 pkt.';\n    }\n  });\n\n  clearBtn.addEventListener('click', function () {\n    document.getElementById('rx-psa-entry-no').checked = true;\n    document.getElementById('rx-psa-psoriasis-none').checked = true;\n    document.getElementById('rx-psa-nails').checked = false;\n    document.getElementById('rx-psa-rf-negative').checked = false;\n    document.getElementById('rx-psa-dactylitis').checked = false;\n    document.getElementById('rx-psa-xray').checked = false;\n\n    document.getElementById('rx-psa-result').style.display = 'block';\n    document.getElementById('rx-psa-result').style.background = '#f8fafc';\n    document.getElementById('rx-psa-result').style.border = '1px solid #e2e8f0';\n    document.getElementById('rx-psa-result-title').style.color = '#0f172a';\n    document.getElementById('rx-psa-result-title').innerHTML = 'Wynik pojawi si\u0119 tutaj';\n    document.getElementById('rx-psa-result-text').innerHTML = 'Zaznacz odpowiedzi, a nast\u0119pnie kliknij \u201eOblicz wynik\u201d.';\n    document.getElementById('rx-psa-result-note').innerHTML = 'Regu\u0142a: zapalna choroba narz\u0105du ruchu + co najmniej 3 punkty = CASPAR spe\u0142nione.';\n  });\n})();\n<\/script>\n","protected":false},"excerpt":{"rendered":"<p>Kalkulator klasyfikacyjny \u0141uszczycowe zapalenie staw\u00f3w (\u0141ZS, PsA) \u2014 CASPAR Kryteria CASPAR wymagaj\u0105 zapalnej choroby narz\u0105du ruchu oraz co najmniej 3 punkt\u00f3w z cech dodatkowych. Aktualna \u0142uszczyca jest punktowana najwy\u017cej i daje 2 punkty. 1. Warunek wst\u0119pny Czy pacjent ma zapaln\u0105 chorob\u0119 narz\u0105du ruchu: staw\u00f3w obwodowych, kr\u0119gos\u0142upa lub entez? Nie Tak 2. \u0141uszczyca Wybierz jedn\u0105 najwy\u017cej&#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-276","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/rheumanext.pl\/pl\/wp-json\/wp\/v2\/pages\/276","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=276"}],"version-history":[{"count":6,"href":"https:\/\/rheumanext.pl\/pl\/wp-json\/wp\/v2\/pages\/276\/revisions"}],"predecessor-version":[{"id":1177,"href":"https:\/\/rheumanext.pl\/pl\/wp-json\/wp\/v2\/pages\/276\/revisions\/1177"}],"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=276"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}