www.MedicalCRITERIA.com

Home A-Z Index About Us Books Español
Sponsored Links

Sponsored Links

Classification Criteria for the Diagnosis of Systemic Lupus Erythematosus (SLE)

  1. Malar rash: Fixed erythema, flat or raised, over the malar eminences
  2. Discoid rash: Erythematous circular raised patches with adherent keratotic scaling and follicular plugging; atrophic scarring may occur
  3. Photosensitivity: Exposure to ultraviolet light causes rash
  4. Oral ulcers: Includes oral and nasopharyngeal ulcers, observed by physician
  5. Arthritis: Nonerosive arthritis of two or more peripheral joints, with tenderness, swelling, or effusion
  6. Serositis: Pleuritis or pericarditis documented by ECG or rub or evidence of effusion
  7. Renal disorder: Proteinuria >0.5 g/d or 3+, or cellular casts
  8. Neurologic disorder: Seizures or psychosis without other causes
  9. Hematologic disorder: Hemolytic anemia or leukopenia (<4000/L) or lymphopenia (<1500/L) or thrombocytopenia (<100,000/L) in the absence of offending drugs
  10. Immunologic disorder: Anti-dsDNA, anti-Sm, and/or anti-phospholipid
  11. Antinuclear antibodies: An abnormal titer of ANA by immunofluorescence or an equivalent assay at any point in time in the absence of drugs known to induce ANAs

Any combination of 4 or more of 11 criteria, well-documented at any time during a patient's history, makes it likely that the patient has SLE (specificity and sensitivity are 95% and 75%, respectively).

Note: ECG, electrocardiography; dsDNA, double-stranded DNA; ANA, antinuclear antibodies.

Related Criteria

Revised ARA Criteria for the Classification of Rheumatoid Arthritis (RA)

Criteria for the Classification of Systemic Sclerosis (Scleroderma)

ACR Criteria for the Classification of Polyarteritis Nodosa (PAN)

ACR Criteria for the Classification of Churg-Strauss Syndrome (CSS)

ACR Criteria for the Classification of Giant-Cell Arteritis

ACR Criteria for the Classification of Hypersensitivity Vasculitis

Revised International Classification Criteria for Sjögren's Syndrome (SS)

1990 Criteria of American College of Rheumatology for the Classification of Takayasu Arteritis

Classification Criteria for Osteoarthritis

Diagnostic Criteria for Relapsing Polychondritis

Criteria for the Classification of Wegener's Granulomatosis (WG)

Diagnostic Criteria for Autoimmune Hepatitis (AIH)

Diagnostic Criteria for Kawasaki Disease

Names and definitions of vasculitis adopted by the Chapel Hill Consensus Conference

Diagnostic Criteria for Mixed Connective Tissue Disease (MCTD)

Criteria for the Classification of the Antiphospholipid Syndrome (APS)

More...

 

 

References:

  1. Tan EM, Cohen AS, Fries JF, Masi AT, McShane DJ, Rothfield NF, et al. The 1982 revised criteria for the classification of systemic lupus erythematosus. Arthritis Rheum 1982;25:1271-7. [Medline]
  2. Hochberg MC. Updating the American College of Rheumatology revised criteria for the classification of systemic lupus erythematosus. Arthritis Rheum. 1997 Sep;40(9):1725. [Medline]
  3. Petri M. Review of classification criteria for systemic lupus erythematosus. Rheum Dis Clin North Am. 2005 May;31(2):245-54. [Medline]

Sponsored Links

 

 

Created: May 09, 2005
Last Modified: 10/24/2010

 
MedicalCRITERIA.com © all rights reserved.                                                                     Contact Us.