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Diagnostic and therapeutic thresholds of rheumatic diseases Noboru HAGINO 1 1Division of Rheumatology Teikyo University Chiba Medical Center pp.881-886
Published Date 2018/10/1
DOI https://doi.org/10.11477/mf.3102200569
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The diagnosis of rheumatic diseases should be made clinically, not solely using classification criteria. The majority of classification criteria in rheumatic diseases are not intended to establish a diagnosis but are for selecting a homogenous patient population for enrollment in clinical trials. A certain range should be considered when diagnosing patients with rheumatic diseases who present with unexplained fever and multiple organ dysfunction, since no single set of laboratory tests or pathologic studies can effectively rule in or rule out rheumatic diseases. Unnecessarily early intervention may lead to misdiagnosis, while prolonged observation may lead to irreversible organ damage. In this article, we focus on the rationale behind, and common pitfalls in the diagnostic approach to rheumatologic diseases.


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電子版ISSN 2186-7852 印刷版ISSN 1883-4833 メディカル・サイエンス・インターナショナル

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