SLICC SLE Diagnostic Criteria - Systemic Lupus Erythematosus
Clinical and Immunologic Criteria
CLINICAL CRITERIA
- ACUTE CUTANEOUS LUPUS OR SUBACUTE CUTANEOUS LUPUS
- CHRONIC CUTANEOUS LUPUS
- ORAL ULCERS OR NASAL ULCERS
- NON-SCARRING ALOPECIA
- SYNOVITIS INVOLVING 2 OR MORE JOINTS
- SEROSITIS
- RENAL
- NEUROLOGIC
- HEMOLYTIC ANEMIA
- LEUKOPENIA (<4000/MM3) OR LYMPHOPENIA (<1000/MM3)
- THROMBOCYTOPENIA (<100,000/MM3)
IMMUNOLOGIC CRITERIA
- ANA level above laboratory reference range
- Anti-dsDNA antibody level above laboratory reference range (or 2-fold the reference range if tested by ELISA)
- Anti-Sm: the presence of antibody to Sm nuclear antigen
- Antiphospholipid antibody positivity, as determined by Positive test for lupus anticoagulant
- Low complement (C3, C4, or CH50)
- Direct Coombs’ test (in the absence of hemolytic anemia
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