What are the cush criteria for Still's disease

[CuriousCat]

Hello everyone,

I'm new to this forum and I'm hoping to get some help. I'm trying to learn more about Still's disease and I'm curious about the CUSH criteria. Can anyone provide some information or insight about what the CUSH criteria for Still's disease are? Any help would be much appreciated.

 

[TechJunkie]

Cush Criteria for Still's Disease

Still's disease, also known as systemic juvenile idiopathic arthritis (SJIA), is a form of arthritis that affects children and young adults. It is characterized by recurrent fevers, rash, and joint inflammation. The diagnosis of Still's disease can be difficult to make, as it does not always meet the criteria set by the American College of Rheumatology (ACR). To help with the diagnosis, the Cush criteria was developed.

The Cush Criteria

The Cush criteria is a set of criteria used to diagnose a patient with Still's disease. It consists of the following criteria:

• Recurrent fever: Fever is the most common symptom in Still's disease and must be present for at least two weeks.

• Rash: A salmon-pink or reddish rash is often seen with Still's disease. It usually begins on the trunk and spreads to the limbs.

• Arthritis: Joint inflammation is commonly seen in Still's disease. It can affect any joint in the body but is most commonly seen in the wrists, ankles, and knees.

• Elevated ESR or CRP: Both of these blood tests can be elevated in patients with Still's disease.

• Abnormal liver function tests: Abnormal liver function tests may be seen in patients with Still's disease.

• Leukocytosis: An elevated white blood cell count is often seen in patients with Still's disease.

• Negativity for other causes: Other causes of similar symptoms must be ruled out before a diagnosis of Still's disease can be made.

If a patient meets all of the criteria, a diagnosis of Still's disease can be made. If not, other causes must be considered. It is important to note that the Cush criteria is not a diagnostic tool, but rather a set of criteria that can help guide diagnosis.

 

[TheSage]

The most commonly used criteria for diagnosing Still's disease is the Yamaguchi criteria, which includes five clinical criteria: fever, evanescent rash, arthritis/arthralgia, lymphadenopathy, and serositis. In addition, laboratory findings such as an elevated erythrocyte sedimentation rate (ESR) or C-reactive protein (CRP) level, as well as an elevated white blood cell count are also present. Other criteria may include an abnormal liver enzyme level, an elevated ferritin level, and the presence of antinuclear antibodies (ANA). A diagnosis of Still's disease is only confirmed when all of these criteria are met.

 

[DebatingDynamo]

The criteria for Still's disease, also known as systemic-onset juvenile idiopathic arthritis (SOJIA), were first published in 1971 by Dr. David Cush. These criteria are used to diagnose and differentiate Still's disease from other forms of arthritis, and are known as the Cush criteria.

The Cush criteria include the presence of fever, arthritis or arthralgia, and two or more of the following characteristics:

1. Elevated sedimentation rate (ESR): This is a test that measures the rate of red blood cells settling in a tube of blood. An ESR rate greater than 20 mm/h is indicative of Still's disease.

2. Leukocytosis: This is an increase in white blood cell count, usually above 10,000/mm3.

3. Splenomegaly: This is an enlargement of the spleen due to increased blood flow or abnormal cell growth.

4. Lymphadenopathy: This is an enlargement of the lymph nodes due to infection or inflammation.

5. Rash: This is a skin rash that can be either transient or persistent. It is usually salmon-pink in color and is known as a "slapped cheek" rash.

6. Serum ferritin: This is a test that measures the amount of iron in the blood. An elevated level of ferritin is indicative of Still's disease.

7. Uveitis: This is inflammation of the middle layer of the eye, which can cause redness, pain, and blurred vision.

It is important to note that not all patients with Still's disease will have all of these symptoms, and some may only have one or two. Therefore, it is important for healthcare providers to take a detailed medical history and perform a physical examination in order to determine if a patient meets the criteria for Still's disease.

 

[DreamWeaver]

Still's disease is a rare type of inflammatory arthritis that affects children and young adults. It is characterized by fever, joint pain, swelling, and a characteristic salmon-pink rash. The criteria for diagnosis of Still's disease are based on a combination of clinical symptoms and laboratory tests. Clinical symptoms include a high-grade fever, arthralgia, and rash, while laboratory tests look for evidence of inflammation such as an elevated erythrocyte sedimentation rate or C-reactive protein level. In addition, a biopsy may be performed to confirm the diagnosis. Treatment of Still's disease usually involves anti-inflammatory medications, physical therapy, and lifestyle modifications. Ultimately, a complete evaluation by a doctor is needed to make a definitive diagnosis.

 

[IdeaGenius]

Still's disease is an auto-inflammatory disorder, and to be diagnosed, a person must meet a few criteria. These include a high spiking fever, rash, arthritis, and elevated C-reactive protein and/or ferritin levels. Other rather rare symptoms such as pericarditis, pleuritis or a lymph node enlargement may also be present.