No:70904124020H(210╳280)mm
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健保榮民 健保榮民健保榮民
健保榮民 健保員工健保員工健保員工健保員工 健健健 健 保 保保保 健保員眷健保員眷健保員眷健保員眷 民民民 民 眾眾眾眾
台 台
台 台 中 中 中 中 榮 榮 榮 榮 民 民 民 民 總 總 總 總 醫 醫 醫 醫 院 院 院 院
內部 過敏免疫風 濕科 內部 過敏免疫風 濕科 內部 過敏免疫風 濕科 內部 過敏免疫風 濕科
血 管 炎 特 別 紀 錄 表 (一)
Churg-Strauss syndrome姓名 病房 床位 年齡 病歷號
1990 Criteria for the Classification of Churg 1990 Criteria for the Classification of Churg 1990 Criteria for the Classification of Churg
1990 Criteria for the Classification of Churg----Strauss Syndrome (Traditional Format), Their Strauss Syndrome (Traditional Format), Their Strauss Syndrome (Traditional Format), Their Strauss Syndrome (Traditional Format), Their Sensitivity And Spec
Sensitivity And SpecSensitivity And Spec
Sensitivity And Specificity Versus Other Defined Vasculitis Syndromesificity Versus Other Defined Vasculitis Syndromesificity Versus Other Defined Vasculitis Syndromesificity Versus Other Defined Vasculitis Syndromes 1. Criteria and definition for the classification of Churg-Strauss syndrome
Criteris Definition
______ 1.Asthma
______ 2.Eosinophilia >10%
______ 3.Neuropathy, mono or poly
______ 4.Pulmonary infiltrates, non-fixed
______ 5.Paranasal sinus abnormality
______ 6.Extravascular eosinophils
Hitstory of wheezing or diffuse highpitches rales On expiration
Eosinophilia >10% on white blood cell differential count.
Development of mononeuropathy, multiple mononeuropathies, or polyneuropathy (glove/ stocking distribution) attributable to systemic vasculitis.
Migratory or transitory pulmonary infiltrates on radiographs (not including fixed infiltrates),attributable to a systemic vasculitis.
History of acute or chronic paranasal ainus pain or tenderness or radiographic opacification of the paranasal sinuses Biopsy including artery, arteriole, or venule, showing
accumulations of cosinophils in extravascular areas
* For classification purposes, a patient shall be said to have Churg-Strauss syndrome (CSS) if at least 4 of these 6 criteria are positive. The presence of any 4 or more of the 6 criteria yields a sensitivity of 85% and a specificity of 99.7%. (See Table 3 for criteria definitions.)
Masi AT, Hunder GG, Lie JT, Michel BA, Bloch DA, Arend WP, et al. The American College of Rheumatology 1990 criteria for the classification of Churg-Strauss syndrome (allergic granulomatosis and angiitis). Arthritis Rheum 1990;33:1094---100.
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©2007 American College of Rheumatology
