[Early diagnosis of chronic systemic inflammatory disorders].
Functionally relevant damage caused by chronic systemic inflammatory disorders of autoimmune and/or unknown origin can be reduced or sometimes avoided by early initiation of treatment. This requires a correct diagnosis which makes treatment as early as possible. Due to the often uncharacteristic symptoms at the onset of disease, early diagnosis in systemic inflammatory disorders represents a diagnostic challenge. This review outlines current standards and limitations in the early diagnosis of rheumatoid arthritis, collagen vascular diseases and primary systemic vasculitides. Recent advances especially in serology and imaging techniques have improved early diagnosis of systemic inflammatory disorders.
Hellmich
B
B
Rheumaklinik Bad Bramstedt. bernhard.hellmich@rheuma.uni-luebeck.de
Merkel
F
F
Weber
M
M
Gross
W L
WL
D001172:Arthritis, Rheumatoid / Q000145:classification / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy; D002908:Chronic Disease; D003095:Collagen Diseases / Q000145:classification / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy; D003951:Diagnostic Errors / Q000517:prevention & control*; D006801:Humans; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'; D011379:Prognosis; D018570:Risk Assessment / Q000379:methods*; D012307:Risk Factors; D018746:Systemic Inflammatory Response Syndrome / Q000145:classification / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy; D013997:Time Factors; D014657:Vasculitis / Q000145:classification / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy
J Rheumatol. 2000 Aug;27(8):1848-54
10955323
J Am Soc Nephrol. 2002 Jul;13(7):1953-60
12089393
Br J Rheumatol. 1997 Feb;36(2):239-43
9133938
Z Rheumatol. 2004 Jun;63(3):193-202
15224222
Arthritis Rheum. 2000 May;43(5):1021-32
10817555
Ann Rheum Dis. 2002 Oct;61(10):895-904
12228160
Dtsch Med Wochenschr. 2004 Jun 4;129(23):1322-7
15179593
Nephrol Dial Transplant. 1994;9(4):372-6
8084449
J Leukoc Biol. 2003 Jul;74(1):1-2
12832436
Z Rheumatol. 2004 Jun;63(3):211-5
15224224
Z Rheumatol. 2003 Jun;62(3):274-86
12827404
Am J Med. 2002 Aug 1;113(2):134-9
12133752
Br Med J (Clin Res Ed). 1986 Feb 1;292(6516):301-4
3080145
Clin Exp Rheumatol. 2003 Sep-Oct;21(5 Suppl 31):S59-64
14969052
Br J Rheumatol. 1993 Aug;32(8):717-23
8348275
Ann Rheum Dis. 2004 Jul;63(7):862-6
15194585
Joint Bone Spine. 2003 Dec;70(6):433-47
14667551
Am J Med. 2001 Oct 15;111(6):446-51
11690569
Best Pract Res Clin Rheumatol. 2001 Mar;15(1):49-66
11358414
Best Pract Res Clin Rheumatol. 2005 Apr;19(2):243-61
15857794
Dtsch Med Wochenschr. 2002 Mar 8;127(10):517-9
11884996
J Rheumatol. 2003 Jun;30(6):1385-6
12784422
Dtsch Med Wochenschr. 2002 Mar 8;127(10):520-2
11884997
Clin Exp Rheumatol. 2003 Sep-Oct;21(5 Suppl 31):S154-7
14969068
Arthritis Rheum. 1988 Mar;31(3):315-24
3358796
Arthritis Rheum. 2004 Jul;50(7):2103-12
15248207
J Am Soc Nephrol. 2004 Oct;15(10):2514-27
15466256
Nephrol Dial Transplant. 2004 Aug;19(8):1964-8
15213321
J Rheumatol. 1998 Dec;25(12):2324-30
9858425
Arthritis Rheum. 2002 Sep;46(9):2384-91
12355486
Ann Rheum Dis. 2004 Apr;63(4):382-5
15020331
Arthritis Rheum. 2000 Jan;43(1):22-9
10643696
Z Rheumatol. 2003 Feb;62(1):23-33
12624799