🦴 Classification ACR/EULAR 2015 (goutte)
UsageQuand utiliser : structured classification after ≥1 symptomatic peripheral joint/bursa episode.
StratificationClassifies vs not — still not a standalone clinical diagnosis.
LimitesQuand ne pas utiliser : without entry criterion, or to force ULT deci… · Piège : forgetting negative SF (−2) or very low urate (−4). · Septic arthritis must be excluded clinically when indicated.
Source中华医学会风湿病学分会痛风诊疗规范 on zh
Prochaines étapes de garde
Après le score : scène, scores proches et parcours. Référence locale — pas d’écriture HIS.
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Méthodologie · exemple, recommandations et notes
Entry gate + MSU sufficient pathway.
Quand l'utiliser
Quand utiliser : structured classification after ≥1 symptomatic peripheral joint/bursa episode.
Comment ça marche
MSU in symptomatic joint/tophus = sufficient. Else sum domains (pattern, characteristics, time-course, tophus, urate, SF−2, imaging urate, erosion); ≥8 classifies.
Points clés
- Entry gate + MSU sufficient pathway.
- ≥8 classifies.
- Suite : gout flare pathway; CN gout guideline on zh.
Références
- [Recommandation / source principale]中华医学会风湿病学分会痛风诊疗规范 on zh
- Neogi T, et al. Arthritis Rheumatol / Ann Rheum Dis 2015
Note sur l'outil
Réservé aux professionnels de santé ; ne remplace pas le jugement clinique.
Exemple de calcul
Les valeurs ci-dessous proviennent des exemples définis dans l'outil et sont calculées côté serveur avec la formule de cette page, afin de vérifier rapidement l'opération. Ceci illustre uniquement la substitution des valeurs : ce n'est ni un avis clinique ni un cas réel.
| ≥1 episode swelling/pain/tenderness in a peripheral joint or bursa | No |
|---|---|
| MSU crystals in symptomatic joint/bursa or tophus (sufficient) | No / not demonstrated |
| Joint/bursa pattern (highest ever) | Ankle or midfoot mono/oligo without 1st MTP (1) |
| Episode characteristics count (erythema / can't bear touch / can't use joint) | One (1) |
| Typical time-course episodes (≥2 of: max pain <24h, resolve ≤14d, complete intercritical resolution) | One typical episode (1) |
| Clinical tophus | No (0) |
| Serum urate (highest, ideally off ULT) | 6–<8 mg/dL (2) |
| Synovial fluid of symptomatic joint MSU-negative | Not done / not negative (0) |
| Imaging urate deposition (US double-contour or DECT) | Absent / not done (0) |
| Radiographic gout-related erosion (hands/feet) | Absent / not done (0) |
→ACR/EULAR GoutNot applicable
- Entry：Requires ≥1 peripheral joint/bursa symptomatic episode.
| ≥1 episode swelling/pain/tenderness in a peripheral joint or bursa | Yes (required) |
|---|---|
| MSU crystals in symptomatic joint/bursa or tophus (sufficient) | Yes — sufficient for classification |
| Joint/bursa pattern (highest ever) | 1st MTP mono/oligo (2) |
| Episode characteristics count (erythema / can't bear touch / can't use joint) | Three (3) |
| Typical time-course episodes (≥2 of: max pain <24h, resolve ≤14d, complete intercritical resolution) | Recurrent typical episodes (2) |
| Clinical tophus | Yes (4) |
| Serum urate (highest, ideally off ULT) | ≥10 mg/dL (4) |
| Synovial fluid of symptomatic joint MSU-negative | MSU-negative (−2) |
| Imaging urate deposition (US double-contour or DECT) | Present (4) |
| Radiographic gout-related erosion (hands/feet) | Present (4) |
→ACR/EULAR GoutClassifies (MSU sufficient)
- Pathway：Sufficient criterion met — score not required
Vérification et sources · gouvernance
FAQ
Questions fréquentes
- Classification ACR/EULAR 2015 (goutte) envoie-t-il des données patient ? Où le calcul est-il fait ?
- Le calcul s'effectue localement dans le navigateur ; aucune donnée n'est envoyée. Destiné aux professionnels de santé ; interpréter avec l'histoire, les examens et les protocoles locaux — ni diagnostic ni prescription.
- Comment calcule-t-on Classification ACR/EULAR 2015 (goutte) en pratique ? Pouvez-vous montrer un exemple résolu ?
- Données: ≥1 episode swelling/pain/tenderness in a peripheral joint or bursa No, MSU crystals in symptomatic joint/bursa or tophus (sufficient) No / not demonstrated, Joint/bursa pattern (highest ever) Ankle or midfoot mono/oligo without 1st MTP (1), Episode characteristics count (erythema / can't bear touch / can't use joint) One (1), Typical time-course episodes (≥2 of: max pain <24h, resolve ≤14d, complete intercritical resolution) One typical episode (1), Clinical tophus No (0), Serum urate (highest, ideally off ULT) 6–<8 mg/dL (2), Synovial fluid of symptomatic joint MSU-negative Not done / not negative (0)… → Résultat: ACR/EULAR Gout Not applicable（Entry: Requires ≥1 peripheral joint/bursa symptomatic episode.） Données: ≥1 episode swelling/pain/tenderness in a peripheral joint or bursa Yes (required), MSU crystals in symptomatic joint/bursa or tophus (sufficient) Yes — sufficient for classification, Joint/bursa pattern (highest ever) 1st MTP mono/oligo (2), Episode characteristics count (erythema / can't bear touch / can't use joint) Three (3), Typical time-course episodes (≥2 of: max pain <24h, resolve ≤14d, complete intercritical resolution) Recurrent typical episodes (2), Clinical tophus Yes (4), Serum urate (highest, ideally off ULT) ≥10 mg/dL (4), Synovial fluid of symptomatic joint MSU-negative MSU-negative (−2)… → Résultat: ACR/EULAR Gout Classifies (MSU sufficient)（Pathway: Sufficient criterion met — score not required）