(1) Pericarditis |
Clinical judgment and confirmed by echocardiography |
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(2) Pleuritis |
Clinical judgment and thorax radiographs |
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(3) Felty's syndrome |
Clinical evidence confirmed by ultrasound and neutropenia <1.8 × 109 described in at least 2 occasions |
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(4) Major cutaneous vasculitis |
Clinical judgment confirmed by biopsy |
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(5) Neuropathy |
Clinical judgment and positive results poly/mononeuropathy at electromyography |
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(6) Scleritis, epiescleritis, uveitis, or retinal vasculitis |
Identified by an specialist and if required a biopsy was performed |
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(7) Glomerulonephritis |
Corroborated by nephrologist and if required a renal biopsy was performed |
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(8) Vasculitis involving other organs |
Identified by an specialist and if required a biopsy was performed |
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(9) Amyloidosis |
Clinical judgment and positive biopsy if required |
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(10) Keratoncunjunctivitis sicca |
Clinical judgment: (a) positive Rose-Bengal staining and (b) positive Schirmer's test <5 mm/5 mn |
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(11) Xerostomia |
Clinical judgment and abnormal sialometry and if suspected minor salivary gland biopsy with lymphocytic infiltrate |
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(12) Secondary Sjögren's syndrome |
Diagnosed by two of the following criteria (a) keratonconjunctivitis sicca, (b) xerostomia, and (c) positivity for anti-Ro or anti-La antibodies |
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(13) Bronchiolitis obliterans |
Clinical judgment by pulmonologist |
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(14) Organizing Pneumonia |
Clinical judgment by pulmonologist |
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(15) Pulmonary fibrosis |
Clinical judgment by pulmonologist plus restrictive pattern in lung function test and confirmed by positive findings in high-resolution computed tomography of the lung |
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(16) Cervical myelopathy |
Clinical judgment and radiograph showing increased in atlantoaxial distance |
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(17) Subcutaneous rheumatoid nodules |
Clinical judgment and biopsy if required |
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(18) Chronic anemia |
Diagnosed if a hemoglobin <11 g/dL was observed in the last 6 months before the evaluation and other causes of anemia were excluded |