Features of poor prognosis (must satisfy 1) |
Arthritis of the hip (38) |
Radiographic damage (erosions or joint space narrowing by radiograph) (31) |
Disease activity levels |
Low disease activity (must satisfy all) |
4 or fewer active joints |
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 3 features of high disease activity |
High disease activity (must satisfy at least 3) |
8 or more active joints |
Erythrocyte sedimentation rate or C- reactive protein level 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 ≥5 of 10 |