Do not request the dosage of ANA (anti-nucleic autoantibody) and rheumatoid factor dosage to a child when there is the presence of arthralgia, without any clinical objectivity.
When a child has joint pain but does not meet the clinical criteria for the diagnosis of Juvenile Idiopathic Arthritis it is not very useful to require the determination of autoantibodies. These investigations are useful to better define the diagnosis, the prognosis...
Do not request a standard radiograph for diagnostic purposes in the clinical suspicion of an early-stage arthritis.
In this phase of the pathological process, this examination, especially in the “very early” forms (within 12 weeks from the onset), does not provide significant information, often dealing with conditions in the pre-radiographic stage and for which early...
Do not request the dosage of ENA (Extractable Nuclear Antigens) / ENA profile in patients with Raynaud’s phenomenon before having performed a capillaroscopy.
Raynaud’s phenomenon mainly affects women between 20 and 40 years of age. In a high percentage of cases ranging between 50% and 90%, this phenomenon is primitive; in such cases it is not necessary to make specific therapies, but only a symptomatic treatment and...
Do not request the dosage of ANCA (antibodies against the cytoplasm of neutrophils) only in the presence of a clinical suspicion of connectivitis, without adequate and documented evaluation or evident clinical suspect of a vasculitis.
As is well known, ANCAs are associated with a group of small vessel vasculites called ANCA-associated vasculitis, which include microscopic polyangiitis, granulomatosis with polyangiitis (M. of Wegener) and eosinophilic granulomatosis with polyangiitis (m....The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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