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Swollen Joint Count Shoulder Elbow Wrist Right hand MCP 1-5 IP 1, PIP 2-5 Knee Shoulder Elbow Wrist Left hand MCP 1-5 IP 1, PIP 2-5 Knee SJC DAS 28 Interpretation DAS28 <2.6: Remission DAS28 >=2.6 and <=3.2: Low Disease Activity DAS28 >3.2 and <=5.1: Moderate Disease Activity DAS28 >5.1: High Disease Activity Notes In the hands, the joints that are evaluated include the first through fifth metacarpophalangeal joint, the interphalangeal joint of the thumb, and the second through fifth proximal interphalangeal joint. The

References Aletaha D, Ward MM, Machold KP, et. al. Remission and active disease in rheumatoid arthritis: defining criteria for disease activity states. Arthritis Rheum . 2005 Sep;52(9):2625-36. van der Heijde DM, van 't Hof M, van Riel PL, van de Putte LB. Development of a disease activity score based on judgment in clinical practice by rheumatologists. J Rheumatol . 1993 Mar;20(3):579-81. Prevoo ML, van 't Hof MA, Kuper HH, et. al. Modified disease activity scores that include twenty-eight-joint counts. Development and validation in a prospective longitudinal study of patients with rheumatoid arthritis. Arthritis Rheum . 1995 Jan;38(1):44-8. Saag KG, Teng GG, Patkar NM, et. al. American College of Rheumatology 2008 recommendations for the use of nonbiologic and biologic disease-modifying antirheumatic drugs in rheumatoid arthritis. Arthritis Rheum . 2008 Jun 15;59(6):762-84. Use of UpToDate is subject to the Subscription and License Agreement . Information on this page may not appear correctly if printed. Legal Notices and Disclaimer All information contained in and produced by the MedCalc 3000 system is provided for educational purposes only. This information should not be used for the diagnosis or treatment of any health problem or disease. THIS INFORMATION IS NOT INTENDED TO REPLACE CLINICAL JUDGMENT OR GUIDE INDIVIDUAL PATIENT CARE IN ANY MANNER. Click here for full notice and disclaimer. MedCalc 3000 is Copyright © 1998-2013 Foundation Internet Services