Feature of poor prognosis |
Radiographic damage of any joint (erosions or joint space narrowing by radiograph) |
Disease activity levels |
Low disease activity (must satisfy all) |
Normal back flexion |
Erythrocyte sedimentation rate or C-reactive protein level normal |
Physician global assessment of overall disease activity <4 of 10 |
Patient/parent global assessment of overall well-being <2 of 10 |
Moderate disease activity (does not satisfy criteria for low or high activity) |
1 or more features greater than low disease activity level AND fewer than 2 features of high disease activity |
High disease activity (must satisfy at least 2) |
Erythrocyte sedimentation rate or C-reactive protein greater than twice upper limit of normal |
Physician global assessment of overall disease activity ≥7 of 10 |
Patient/parent global assessment of overall well-being ≥4 of 10 |