{"id":339,"date":"2025-03-08T22:08:20","date_gmt":"2025-03-08T22:08:20","guid":{"rendered":"https:\/\/rheumanext.pl\/?page_id=339"},"modified":"2026-03-14T19:30:21","modified_gmt":"2026-03-14T19:30:21","slug":"zespol-sjoegrena-acr-eular-2016","status":"publish","type":"page","link":"https:\/\/rheumanext.pl\/pl\/kalkulatory\/kryteria\/zespol-sjoegrena-acr-eular-2016\/","title":{"rendered":"Zesp\u00f3\u0142 Sjoegrena (ZS, SjD) &#8211; ACR\/EULAR 2016"},"content":{"rendered":"\n<section id=\"rx-sjd-acr-eular-2016-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;\">Zesp\u00f3\u0142 Sj\u00f6grena (ZS, SjD) \u2014 ACR\/EULAR 2016<\/h2>\n      <p style=\"margin:0;color:#475569;max-width:76ch;\">Kryteria ACR\/EULAR 2016 dla pierwotnego zespo\u0142u Sj\u00f6grena opieraj\u0105 si\u0119 na prostym systemie punktowym. Do klasyfikacji potrzeba co najmniej 4 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. Zakres zastosowania<\/h3>\n        <p style=\"margin:0 0 16px;color:#475569;font-size:14px;\">Te kryteria stosuje si\u0119 u os\u00f3b z objawami i\/lub cechami sugeruj\u0105cymi zesp\u00f3\u0142 Sj\u00f6grena, zw\u0142aszcza sucho\u015bci\u0105 oczu lub jamy ustnej. S\u0105 to kryteria klasyfikacyjne dla pierwotnego zespo\u0142u Sj\u00f6grena.<\/p>\n\n        <div style=\"border:1px solid #e2e8f0;border-radius:16px;padding:14px;background:#fff;color:#475569;font-size:14px;\">\n          <strong style=\"color:#0f172a;\">Przypomnienie:<\/strong> izolowane ANA, RF lub anty-La\/SSB bez anty-SSA\/Ro nie s\u0105 punktowane w tym zestawie kryteri\u00f3w.\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;\">2. Kryteria punktowane<\/h3>\n        <p style=\"margin:0 0 16px;color:#475569;font-size:14px;\">Zaznacz wszystkie spe\u0142nione pozycje. Punkty sumuj\u0105 si\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=\"checkbox\" id=\"rx-sjd-biopsy\" data-points=\"3\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Biopsja wargi \/ ma\u0142ego gruczo\u0142u \u015blinowego dodatnia<\/strong><br><span style=\"color:#475569;font-size:13px;\">focal lymphocytic sialadenitis z focus score \u22651 \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=\"checkbox\" id=\"rx-sjd-ssa\" data-points=\"3\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Anty-SSA\/Ro dodatnie<\/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=\"checkbox\" id=\"rx-sjd-oss\" data-points=\"1\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Ocular staining score dodatni<\/strong><br><span style=\"color:#475569;font-size:13px;\">OSS \u22655 lub van Bijsterveld \u22654 w co najmniej 1 oku \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=\"checkbox\" id=\"rx-sjd-schirmer\" data-points=\"1\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Test Schirmera dodatni<\/strong><br><span style=\"color:#475569;font-size:13px;\">\u22645 mm\/5 min w co najmniej 1 oku \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;grid-column:1\/-1;\">\n            <input type=\"checkbox\" id=\"rx-sjd-saliva\" data-points=\"1\" style=\"margin-top:3px;accent-color:#0f766e;\">\n            <span><strong>Niestymulowany przep\u0142yw \u015bliny obni\u017cony<\/strong><br><span style=\"color:#475569;font-size:13px;\">unstimulated whole saliva flow \u22640,1 mL\/min \u2022 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-sjd-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-sjd-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-sjd-result\" style=\"display:block;border-radius:20px;padding:20px;border:1px solid #e2e8f0;background:#f8fafc;\">\n        <p id=\"rx-sjd-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-sjd-result-text\" style=\"margin:0 0 8px;\">Zaznacz odpowiedzi, a nast\u0119pnie kliknij \u201eOblicz wynik\u201d.<\/p>\n        <p id=\"rx-sjd-result-note\" style=\"margin:0;color:#475569;font-size:14px;\">Regu\u0142a: zsumuj punkty. Wynik \u22654 pkt klasyfikuje pierwotny zesp\u00f3\u0142 Sj\u00f6grena wed\u0142ug ACR\/EULAR 2016.<\/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 pierwotnego zespo\u0142u Sj\u00f6grena 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-sjd-calc-btn');\n  var clearBtn = document.getElementById('rx-sjd-clear-btn');\n\n  if (!calcBtn || !clearBtn) return;\n\n  var items = [\n    ['rx-sjd-biopsy', 'biopsja ma\u0142ego gruczo\u0142u \u015blinowego dodatnia (+3)'],\n    ['rx-sjd-ssa', 'anty-SSA\/Ro dodatnie (+3)'],\n    ['rx-sjd-oss', 'ocular staining score dodatni (+1)'],\n    ['rx-sjd-schirmer', 'test Schirmera dodatni (+1)'],\n    ['rx-sjd-saliva', 'obni\u017cony niestymulowany przep\u0142yw \u015bliny (+1)']\n  ];\n\n  calcBtn.addEventListener('click', function () {\n    var total = 0;\n    var selectedItems = [];\n\n    items.forEach(function (item) {\n      var el = document.getElementById(item[0]);\n      if (el && el.checked) {\n        total += parseInt(el.getAttribute('data-points'), 10);\n        selectedItems.push(item[1]);\n      }\n    });\n\n    var result = document.getElementById('rx-sjd-result');\n    var title = document.getElementById('rx-sjd-result-title');\n    var text = document.getElementById('rx-sjd-result-text');\n    var note = document.getElementById('rx-sjd-result-note');\n\n    result.style.display = 'block';\n\n    if (total >= 4) {\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 2016 dla pierwotnego zespo\u0142u Sj\u00f6grena.';\n      note.innerHTML = 'Suma punkt\u00f3w: ' + total + '.';\n      if (selectedItems.length) {\n        note.innerHTML += ' Zaliczone pozycje: ' + selectedItems.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 pierwotnego zespo\u0142u Sj\u00f6grena wed\u0142ug ACR\/EULAR 2016.';\n      note.innerHTML = 'Suma punkt\u00f3w: ' + total + '. Do klasyfikacji potrzeba co najmniej 4 pkt.';\n      if (selectedItems.length) {\n        note.innerHTML += ' Zaliczone pozycje: ' + selectedItems.join('; ') + '.';\n      }\n    }\n  });\n\n  clearBtn.addEventListener('click', function () {\n    items.forEach(function (item) {\n      var el = document.getElementById(item[0]);\n      if (el) el.checked = false;\n    });\n\n    document.getElementById('rx-sjd-result').style.display = 'block';\n    document.getElementById('rx-sjd-result').style.background = '#f8fafc';\n    document.getElementById('rx-sjd-result').style.border = '1px solid #e2e8f0';\n    document.getElementById('rx-sjd-result-title').style.color = '#0f172a';\n    document.getElementById('rx-sjd-result-title').innerHTML = 'Wynik pojawi si\u0119 tutaj';\n    document.getElementById('rx-sjd-result-text').innerHTML = 'Zaznacz odpowiedzi, a nast\u0119pnie kliknij \u201eOblicz wynik\u201d.';\n    document.getElementById('rx-sjd-result-note').innerHTML = 'Regu\u0142a: zsumuj punkty. Wynik \u22654 pkt klasyfikuje pierwotny zesp\u00f3\u0142 Sj\u00f6grena wed\u0142ug ACR\/EULAR 2016.';\n  });\n})();\n<\/script>\n","protected":false},"excerpt":{"rendered":"<p>Kalkulator klasyfikacyjny Zesp\u00f3\u0142 Sj\u00f6grena (ZS, SjD) \u2014 ACR\/EULAR 2016 Kryteria ACR\/EULAR 2016 dla pierwotnego zespo\u0142u Sj\u00f6grena opieraj\u0105 si\u0119 na prostym systemie punktowym. Do klasyfikacji potrzeba co najmniej 4 punkt\u00f3w. 1. Zakres zastosowania Te kryteria stosuje si\u0119 u os\u00f3b z objawami i\/lub cechami sugeruj\u0105cymi zesp\u00f3\u0142 Sj\u00f6grena, zw\u0142aszcza sucho\u015bci\u0105 oczu lub jamy ustnej. S\u0105 to kryteria klasyfikacyjne&#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-339","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/rheumanext.pl\/pl\/wp-json\/wp\/v2\/pages\/339","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=339"}],"version-history":[{"count":4,"href":"https:\/\/rheumanext.pl\/pl\/wp-json\/wp\/v2\/pages\/339\/revisions"}],"predecessor-version":[{"id":1148,"href":"https:\/\/rheumanext.pl\/pl\/wp-json\/wp\/v2\/pages\/339\/revisions\/1148"}],"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=339"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}