SLE Criteria
description
Transcript of SLE Criteria
Lupus criteria
• For the purpose of identifying patients in clinical studies, a person has SLE if 4 or more of the 11 criteria are present, serially or simultaneously, during any interval of observation.
• It is important to remember that a patient may have SLE and not have 4 criteria.
Lupus criteria (pneumonic)
M D S O A P B R A I N
Lupus criteria (pneumonic)
MD
S
O
A
P
B
R
A
I
N
Malarrash
Malarrash
Lupus criteria (pneumonic)
M
DS
O
A
P
B
R
A
I
N
Discoidrash
Discoidrash
Discoidrash
Lupus criteria (pneumonic)
M
D
SO
A
P
B
R
A
I
N
Lupus criteria (pneumonic)
Serositis
• Pleuritis, pleural effusion
• Pericarditis, pericardial effusion
• Ascites
Lupus criteria (pneumonic)
M
D
S
OA
P
B
R
A
I
N
Oralulcers
Lupus criteria (pneumonic)
M
D
S
O
AP
B
R
A
I
N
Arthritis (with swelling)
Arthritis (Jaccoud’s)
Lupus criteria (pneumonic)
M
D
S
O
A
P
B
R
A
I
N
Photosensitivity
Lupus criteria (pneumonic)
M
D
S
O
A
P
BR
A
I
N
Blood abnormalities
• Leukocytopenia (< 4000 on 2 + occasions)
• Lymphopenia (< 1500 on 2 + occasions)
• Hemolytic anemia
• Thrombocytopenia (<100, 000)
Lupus criteria (pneumonic)
M
D
S
O
A
P
B
RA
I
N
Renal: A) Proteinuria (>500 mg/24hrs)B) Cellular casts
Lupus criteria (pneumonic)
M
D
S
O
A
P
B
R
AI
N
Anti-nuclear antibodies (ANA)Rim
Nucleolar
Diffuse
Speckled
Lupus pneumonic (criteria)
M
D
S
O
A
P
B
R
A
IN
Immune abnormalities
• Smith antibody
• Anti-ds DNA antibody
• Anti-phospholipid antibody (1997 modification)
• Anti-cardiolipin antibody (IgG or IgM)
• Biologic false positive VDRL (> 6 months)
• Lupus anticoagulant
Lupus criteria (pneumonic)
M
D
S
O
A
P
B
R
A
I
N
Neurologic: A) Seizure B) Psychosis
Lupus criteria (pneumonic)
Malar rash
Discoid lupus
Serositis
Oral ulcers
Arthritis
Photosensitivity
Blood abnormalities
Renal
ANA
Immune
Neurologic