{"id":301,"date":"2025-03-08T21:20:24","date_gmt":"2025-03-08T21:20:24","guid":{"rendered":"https:\/\/rheumanext.pl\/?page_id=301"},"modified":"2026-03-14T18:52:20","modified_gmt":"2026-03-14T18:52:20","slug":"toczen-rumieniowaty-ukladowy-eular-acr","status":"publish","type":"page","link":"https:\/\/rheumanext.pl\/pl\/kalkulatory\/kryteria\/toczen-rumieniowaty-ukladowy-eular-acr\/","title":{"rendered":"Tocze\u0144 rumieniowaty uk\u0142adowy (TRU, SLE) &#8211; ACR\/EULAR 2018"},"content":{"rendered":"\n<section id=\"rx-sle-acr-eular-2019-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;\">Tocze\u0144 rumieniowaty uk\u0142adowy (TRU, SLE) \u2014 ACR\/EULAR 2019<\/h2>\n      <p style=\"margin:0;color:#475569;max-width:74ch;\">Kryteria wymagaj\u0105 dodatniego ANA co najmniej raz jako warunku wej\u015bciowego. Nast\u0119pnie sumuje si\u0119 tylko najwy\u017cej punktowan\u0105 pozycj\u0119 z ka\u017cdej domeny; wynik \u226510 punkt\u00f3w klasyfikuje SLE.<\/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 ANA by\u0142y dodatnie co najmniej raz (\u22651:80 na kom\u00f3rkach HEp-2 lub test r\u00f3wnowa\u017cny)?<\/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-sle-entry\" id=\"rx-sle-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-sle-entry\" id=\"rx-sle-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. Domena konstytucjonalna<\/h3>\n        <p style=\"margin:0 0 16px;color:#475569;font-size:14px;\">W ka\u017cdej domenie wybierz jedn\u0105, najwy\u017csz\u0105 pasuj\u0105c\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-sle-constitutional\" value=\"0\" data-summary=\"\" 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-sle-constitutional\" value=\"2\" data-summary=\"konstytucjonalna \u2014 gor\u0105czka >38,3\u00b0C (+2)&#8221; style=&#8221;margin-top:3px;accent-color:#0f766e;&#8221;>\n            <span><strong>Gor\u0105czka &gt;38,3\u00b0C<\/strong><br><span style=\"color:#475569;font-size:13px;\">2 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. Domena hematologiczna<\/h3>\n        <p style=\"margin:0 0 16px;color:#475569;font-size:14px;\">Liczy si\u0119 tylko najwy\u017cej punktowana pozycja w tej domenie.<\/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-sle-hematologic\" value=\"0\" data-summary=\"\" 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-sle-hematologic\" value=\"3\" data-summary=\"hematologiczna \u2014 leukopenia <4000\/mm\u00b3 (+3)\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Leukopenia<\/strong><br><span style=\"color:#475569;font-size:13px;\">WBC &lt;4000\/mm\u00b3 \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;\">\n            <input type=\"radio\" name=\"rx-sle-hematologic\" value=\"4\" data-summary=\"hematologiczna \u2014 ma\u0142op\u0142ytkowo\u015b\u0107 <100 000\/mm\u00b3 (+4)\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Ma\u0142op\u0142ytkowo\u015b\u0107<\/strong><br><span style=\"color:#475569;font-size:13px;\">PLT &lt;100 000\/mm\u00b3 \u2022 4 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-sle-hematologic\" value=\"4\" data-summary=\"hematologiczna \u2014 autoimmunologiczna hemoliza (+4)\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Autoimmunologiczna hemoliza<\/strong><br><span style=\"color:#475569;font-size:13px;\">4 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. Domena neuropsychiatryczna<\/h3>\n        <p style=\"margin:0 0 16px;color:#475569;font-size:14px;\">Liczy si\u0119 tylko najwy\u017cej punktowana pozycja w tej domenie.<\/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-sle-neuro\" value=\"0\" data-summary=\"\" 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-sle-neuro\" value=\"2\" data-summary=\"neuropsychiatryczna \u2014 delirium (+2)\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Delirium<\/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-sle-neuro\" value=\"3\" data-summary=\"neuropsychiatryczna \u2014 psychoza (+3)\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Psychoza<\/strong><br><span style=\"color:#475569;font-size:13px;\">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;\">\n            <input type=\"radio\" name=\"rx-sle-neuro\" value=\"5\" data-summary=\"neuropsychiatryczna \u2014 napad drgawkowy (+5)\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Napad drgawkowy<\/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;\">5. Domena \u015bluz\u00f3wkowo-sk\u00f3rna<\/h3>\n        <p style=\"margin:0 0 16px;color:#475569;font-size:14px;\">Liczy si\u0119 tylko najwy\u017cej punktowana pozycja w tej domenie.<\/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-sle-mucocutaneous\" value=\"0\" data-summary=\"\" 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-sle-mucocutaneous\" value=\"2\" data-summary=\"\u015bluz\u00f3wkowo-sk\u00f3rna \u2014 niebliznowaciej\u0105ce \u0142ysienie (+2)\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Niebliznowaciej\u0105ce \u0142ysienie<\/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-sle-mucocutaneous\" value=\"2\" data-summary=\"\u015bluz\u00f3wkowo-sk\u00f3rna \u2014 owrzodzenia jamy ustnej (+2)\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Owrzodzenia jamy ustnej<\/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-sle-mucocutaneous\" value=\"4\" data-summary=\"\u015bluz\u00f3wkowo-sk\u00f3rna \u2014 SCLE lub DLE (+4)\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>SCLE lub DLE<\/strong><br><span style=\"color:#475569;font-size:13px;\">Podostry sk\u00f3rny tocze\u0144 lub tocze\u0144 kr\u0105\u017ckowy \u2022 4 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-sle-mucocutaneous\" value=\"6\" data-summary=\"\u015bluz\u00f3wkowo-sk\u00f3rna \u2014 ACLE (+6)\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>ACLE<\/strong><br><span style=\"color:#475569;font-size:13px;\">Ostry sk\u00f3rny tocze\u0144, np. rumie\u0144 malar lub uog\u00f3lniona osutka plamisto-grudkowa \u2022 6 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;\">6. Domena surowicza<\/h3>\n        <p style=\"margin:0 0 16px;color:#475569;font-size:14px;\">Liczy si\u0119 tylko najwy\u017cej punktowana pozycja w tej domenie.<\/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-sle-serosal\" value=\"0\" data-summary=\"\" 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-sle-serosal\" value=\"5\" data-summary=\"surowicza \u2014 wysi\u0119k op\u0142ucnowy lub osierdziowy (+5)\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Wysi\u0119k op\u0142ucnowy lub osierdziowy<\/strong><br><span style=\"color:#475569;font-size:13px;\">5 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-sle-serosal\" value=\"6\" data-summary=\"surowicza \u2014 ostre zapalenie osierdzia (+6)\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Ostre zapalenie osierdzia<\/strong><br><span style=\"color:#475569;font-size:13px;\">6 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;\">7. Domena mi\u0119\u015bniowo-szkieletowa<\/h3>\n        <p style=\"margin:0 0 16px;color:#475569;font-size:14px;\">Obejmuje synovitis w \u22652 stawach lub tkliwo\u015b\u0107 w \u22652 stawach z porann\u0105 sztywno\u015bci\u0105 \u226530 minut.<\/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-sle-musculoskeletal\" value=\"0\" data-summary=\"\" 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-sle-musculoskeletal\" value=\"6\" data-summary=\"mi\u0119\u015bniowo-szkieletowa \u2014 zaj\u0119cie staw\u00f3w (+6)\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Zaj\u0119cie staw\u00f3w<\/strong><br><span style=\"color:#475569;font-size:13px;\">6 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;\">8. Domena nerkowa<\/h3>\n        <p style=\"margin:0 0 16px;color:#475569;font-size:14px;\">Liczy si\u0119 tylko najwy\u017cej punktowana pozycja w tej domenie.<\/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-sle-renal\" value=\"0\" data-summary=\"\" 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-sle-renal\" value=\"4\" data-summary=\"nerkowa \u2014 bia\u0142komocz >0,5 g\/24 h (+4)&#8221; style=&#8221;margin-top:3px;accent-color:#0f766e;&#8221;>\n            <span><strong>Bia\u0142komocz &gt;0,5 g\/24 h<\/strong><br><span style=\"color:#475569;font-size:13px;\">lub r\u00f3wnowa\u017cny wska\u017anik bia\u0142ko\/kreatynina \u2022 4 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-sle-renal\" value=\"8\" data-summary=\"nerkowa \u2014 lupus nephritis klasa II lub V (+8)\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Lupus nephritis klasa II lub V<\/strong><br><span style=\"color:#475569;font-size:13px;\">w biopsji nerki \u2022 8 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-sle-renal\" value=\"10\" data-summary=\"nerkowa \u2014 lupus nephritis klasa III lub IV (+10)\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Lupus nephritis klasa III lub IV<\/strong><br><span style=\"color:#475569;font-size:13px;\">w biopsji nerki \u2022 10 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;\">9. Przeciwcia\u0142a antyfosfolipidowe<\/h3>\n        <p style=\"margin:0 0 16px;color:#475569;font-size:14px;\">Dodatnie aCL, anty-\u03b22GP1 lub LA.<\/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-sle-apl\" value=\"0\" data-summary=\"\" 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-sle-apl\" value=\"2\" data-summary=\"immunologiczna \u2014 przeciwcia\u0142a antyfosfolipidowe (+2)\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Dodatnie przeciwcia\u0142a antyfosfolipidowe<\/strong><br><span style=\"color:#475569;font-size:13px;\">2 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;\">10. Dope\u0142niacz<\/h3>\n        <p style=\"margin:0 0 16px;color:#475569;font-size:14px;\">Liczy si\u0119 tylko najwy\u017cej punktowana pozycja w tej domenie.<\/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-sle-complement\" value=\"0\" data-summary=\"\" checked style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Prawid\u0142owy C3 i C4<\/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-sle-complement\" value=\"3\" data-summary=\"immunologiczna \u2014 niskie C3 lub C4 (+3)\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Niskie C3 lub C4<\/strong><br><span style=\"color:#475569;font-size:13px;\">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;\">\n            <input type=\"radio\" name=\"rx-sle-complement\" value=\"4\" data-summary=\"immunologiczna \u2014 niskie C3 i C4 (+4)\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Niskie C3 i C4<\/strong><br><span style=\"color:#475569;font-size:13px;\">4 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;\">11. Przeciwcia\u0142a swoiste dla SLE<\/h3>\n        <p style=\"margin:0 0 16px;color:#475569;font-size:14px;\">Dodatnie anty-dsDNA lub anty-Sm.<\/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-sle-specific\" value=\"0\" data-summary=\"\" 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-sle-specific\" value=\"6\" data-summary=\"immunologiczna \u2014 anty-dsDNA lub anty-Sm (+6)\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Dodatnie anty-dsDNA lub anty-Sm<\/strong><br><span style=\"color:#475569;font-size:13px;\">6 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-sle-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-sle-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-sle-result\" style=\"display:block;border-radius:20px;padding:20px;border:1px solid #e2e8f0;background:#f8fafc;\">\n        <p id=\"rx-sle-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-sle-result-text\" style=\"margin:0 0 8px;\">Zaznacz odpowiedzi, a nast\u0119pnie kliknij Oblicz wynik.<\/p>\n        <p id=\"rx-sle-result-note\" style=\"margin:0;color:#475569;font-size:14px;\">Regu\u0142a: ANA dodatnie co najmniej raz jako warunek wej\u015bciowy + suma punkt\u00f3w z domen. Wynik \u226510 pkt klasyfikuje SLE wed\u0142ug ACR\/EULAR 2019.<\/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 SLE 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-sle-calc-btn');\n  var clearBtn = document.getElementById('rx-sle-clear-btn');\n\n  if (!calcBtn || !clearBtn) return;\n\n  function getSelectedRadio(name) {\n    return document.querySelector('input[name=\"' + name + '\"]:checked');\n  }\n\n  function getSelectedValue(name) {\n    var selected = getSelectedRadio(name);\n    return selected ? parseInt(selected.value, 10) : 0;\n  }\n\n  function getSelectedSummary(name) {\n    var selected = getSelectedRadio(name);\n    return selected ? (selected.getAttribute('data-summary') || '') : '';\n  }\n\n  calcBtn.addEventListener('click', function () {\n    var entryMet = document.getElementById('rx-sle-entry-yes').checked;\n\n    var domainNames = [\n      'rx-sle-constitutional',\n      'rx-sle-hematologic',\n      'rx-sle-neuro',\n      'rx-sle-mucocutaneous',\n      'rx-sle-serosal',\n      'rx-sle-musculoskeletal',\n      'rx-sle-renal',\n      'rx-sle-apl',\n      'rx-sle-complement',\n      'rx-sle-specific'\n    ];\n\n    var total = 0;\n    var summary = [];\n\n    domainNames.forEach(function (name) {\n      total += getSelectedValue(name);\n      var item = getSelectedSummary(name);\n      if (item) summary.push(item);\n    });\n\n    var result = document.getElementById('rx-sle-result');\n    var title = document.getElementById('rx-sle-result-title');\n    var text = document.getElementById('rx-sle-result-text');\n    var note = document.getElementById('rx-sle-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 2019 dla SLE nie stosuje si\u0119 bez dodatniego ANA co najmniej raz.';\n      note.innerHTML = 'Najpierw musi by\u0107 spe\u0142nione kryterium wej\u015bciowe: ANA \u22651:80 lub test r\u00f3wnowa\u017cny dodatni co najmniej raz.';\n      return;\n    }\n\n    if (total >= 10) {\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 2019 dla SLE.';\n      note.innerHTML = 'Suma punkt\u00f3w: ' + total + '.';\n      if (summary.length) {\n        note.innerHTML += ' Zaliczone domeny: ' + summary.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 SLE wed\u0142ug ACR\/EULAR 2019.';\n      note.innerHTML = 'Suma punkt\u00f3w: ' + total + '. Do klasyfikacji potrzeba co najmniej 10 pkt.';\n      if (summary.length) {\n        note.innerHTML += ' Zaliczone domeny: ' + summary.join('; ') + '.';\n      }\n    }\n  });\n\n  clearBtn.addEventListener('click', function () {\n    document.getElementById('rx-sle-entry-no').checked = true;\n\n    getSelectedRadio('rx-sle-constitutional').checked = false;\n    document.querySelector('input[name=\"rx-sle-constitutional\"][value=\"0\"]').checked = true;\n\n    getSelectedRadio('rx-sle-hematologic').checked = false;\n    document.querySelector('input[name=\"rx-sle-hematologic\"][value=\"0\"]').checked = true;\n\n    getSelectedRadio('rx-sle-neuro').checked = false;\n    document.querySelector('input[name=\"rx-sle-neuro\"][value=\"0\"]').checked = true;\n\n    getSelectedRadio('rx-sle-mucocutaneous').checked = false;\n    document.querySelector('input[name=\"rx-sle-mucocutaneous\"][value=\"0\"]').checked = true;\n\n    getSelectedRadio('rx-sle-serosal').checked = false;\n    document.querySelector('input[name=\"rx-sle-serosal\"][value=\"0\"]').checked = true;\n\n    getSelectedRadio('rx-sle-musculoskeletal').checked = false;\n    document.querySelector('input[name=\"rx-sle-musculoskeletal\"][value=\"0\"]').checked = true;\n\n    getSelectedRadio('rx-sle-renal').checked = false;\n    document.querySelector('input[name=\"rx-sle-renal\"][value=\"0\"]').checked = true;\n\n    getSelectedRadio('rx-sle-apl').checked = false;\n    document.querySelector('input[name=\"rx-sle-apl\"][value=\"0\"]').checked = true;\n\n    getSelectedRadio('rx-sle-complement').checked = false;\n    document.querySelector('input[name=\"rx-sle-complement\"][value=\"0\"]').checked = true;\n\n    getSelectedRadio('rx-sle-specific').checked = false;\n    document.querySelector('input[name=\"rx-sle-specific\"][value=\"0\"]').checked = true;\n\n    document.getElementById('rx-sle-result').style.display = 'block';\n    document.getElementById('rx-sle-result').style.background = '#f8fafc';\n    document.getElementById('rx-sle-result').style.border = '1px solid #e2e8f0';\n    document.getElementById('rx-sle-result-title').style.color = '#0f172a';\n    document.getElementById('rx-sle-result-title').innerHTML = 'Wynik pojawi si\u0119 tutaj';\n    document.getElementById('rx-sle-result-text').innerHTML = 'Zaznacz odpowiedzi, a nast\u0119pnie kliknij Oblicz wynik.';\n    document.getElementById('rx-sle-result-note').innerHTML = 'Regu\u0142a: ANA dodatnie co najmniej raz jako warunek wej\u015bciowy + suma punkt\u00f3w z domen. Wynik \u226510 pkt klasyfikuje SLE wed\u0142ug ACR\/EULAR 2019.';\n  });\n})();\n<\/script>\n\n","protected":false},"excerpt":{"rendered":"<p>Kalkulator klasyfikacyjny Tocze\u0144 rumieniowaty uk\u0142adowy (TRU, SLE) \u2014 ACR\/EULAR 2019 Kryteria wymagaj\u0105 dodatniego ANA co najmniej raz jako warunku wej\u015bciowego. Nast\u0119pnie sumuje si\u0119 tylko najwy\u017cej punktowan\u0105 pozycj\u0119 z ka\u017cdej domeny; wynik \u226510 punkt\u00f3w klasyfikuje SLE. 1. Warunek wst\u0119pny Czy ANA by\u0142y dodatnie co najmniej raz (\u22651:80 na kom\u00f3rkach HEp-2 lub test r\u00f3wnowa\u017cny)? Nie Tak 2&#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-301","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/rheumanext.pl\/pl\/wp-json\/wp\/v2\/pages\/301","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=301"}],"version-history":[{"count":4,"href":"https:\/\/rheumanext.pl\/pl\/wp-json\/wp\/v2\/pages\/301\/revisions"}],"predecessor-version":[{"id":1139,"href":"https:\/\/rheumanext.pl\/pl\/wp-json\/wp\/v2\/pages\/301\/revisions\/1139"}],"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=301"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}