Systemic Lupus Erythematosis (ARA criteria)
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Malar Rash (Red rash of cheeks/nasal bridge) Yes No
Discoid rash (Red scaly rash on face, scalp, ears, arms or chest; may have atrophic scarring) Yes No
Photosensitivity (Reaction to sunlight resulting in skin rash) Yes No
Oral/Nasal ulcers (Small ulcers on mucosal linings of nose or mouth, usually painless) Yes No
Arthritis (Joint pain in the hands, arms, shoulders, hips, legs, feet or jaw; may be migratory and may see a warm, swollen and red joint, is nonerosive and should involve 2 or more joints) Yes No
Serositis (Pleurisy, pericarditis, or peritonitis (aseptic)) Yes No
Renal (Proteinuria and/or cellular casts in the urine: > 0.5 grams of urinary protein/day or > 3+ protein on dip stick) Yes No
Neurologic (Seizure or psychosis) Yes No
Hematologic abnormalities (Anemia (hemolytic), WBC<4000 cells/mm3, platelets<100,000 cells/mm3, or lymphocytes <1500 cells/mm3) Yes No
Immunologic test findings (Positive result on anti-DNA test, anticardiolipin antibodies (IgG or IgM), lupus anticoagulant, anti-Sm, or false positive VRDL known to be positive for at least 6 months and confirmed by Treponema pallidum immobilization or FTA absorption testing)) Yes No
Antinuclear antibody positive (Positive in the absence of drugs known to induce a positive result) Yes No
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Systemic Lupus Erythematosis (ARA criteria)

These criteria are from the American Rheumatism Association for Systemic Lupus Erythematosis (SLE), Revised 1997. Of 11 criteria, at least 4 should be present (do not need to be present at the same time, however) to make the diagnosis of SLE. If <=3 items are present, SLE is unlikely.

Using these criteria, both sensitivity and specificity are each 96% for diagnosis of SLE.

  1. Malar Rash (Red rash of cheeks/nasal bridge)
  2. Discoid rash (Red scaly rash on face, scalp, ears, arms or chest; may have atrophic scarring)
  3. Photosensitivity (Reaction to sunlight resulting in skin rash)
  4. Oral/Nasal ulcers (Small ulcers on mucosal linings of nose or mouth, usually painless)
  5. Arthritis (Joint pain in the hands, arms, shoulders, hips, legs, feet or jaw; may be migratory and may see a warm, swollen and red joint, is nonerosive and should involve 2 or more joints)
  6. Serositis [Pleurisy, pericarditis, or peritonitis (aseptic)]
  7. Renal (Proteinuria and/or cellular casts in the urine: >0.5 grams of urinary protein/day or >3+ protein on dip stick)
  8. Neurologic (Seizure or psychosis)
  9. Hematologic abnormalities [Anemia (hemolytic), WBC <4000 cells/mm 3 , platelets <100,000 cells/mm 3 , or lymphocytes <1500 cells/mm 3 ]
  10. Immunologic test findings [Positive result on anti-DNA test, anticardiolipin antibodies (IgG or IgM), lupus anticoagulant, anti-Sm, or false positive VRDL known to be positive for at least 6 months and confirmed by Treponema pallidum immobilization or FTA absorption testing]
  11. Antinuclear antibody positive (Positive in the absence of drugs known to induce a positive result)

References:

  • Hochberg MC. Updating the American College of Rheumatology revised criteria for the classification of systemic lupus erythematosus. Arthritis Rheum. 1997;40(9):1725.
  • Tan EM, Cohen AS, Fries JF, et al. The 1982 revised criteria for the classification of systemic lupus erythematosus. Arthritis Rheum. 1982;25(11):1271-7.