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Table 6-8
1997 Revised Criteria for Classification of Systemic Lupus Erythematosus
11
Medical
12th Grade
09/17/2011

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Term
Malar rash
Definition
Fixed erythema, flat or raised, over the malar eminences, tending to spare the nasolabial folds
Term
Discoid rash
Definition
Erythematous raised patches with adherent keratotic scaling and follicular plugging; atrophic scarring may occur in older lesions
Term
Photosensitivity
Definition
Rash as a result of unusual reaction to sunlight, by patient history or physician observation
Term
Oral ulcers
Definition
Oral or nasopharyngeal ulceration, usually painless, observed by a physician
Term
Arthritis
Definition
Nonerosive arthritis involving two or more peripheral joints, characterized by tenderness, swelling, or effusion
Term
Serositis
Definition
Pleuritis—convincing history of pleuritic pain or rub heard by a physician or evidence of pleural effusion, or
Pericarditis—documented by electrocardiogram or rub or evidence of pericardial effusion
Term
Renal disorder
Definition
Persistent proteinuria >0.5 gm/dL or >3 if quantitation not performed or
Cellular casts—may be red blood cell, hemoglobin, granular, tubular, or mixed
Term
Neurologic disorder
Definition
Seizures—in the absence of offending drugs or known metabolic derangements (e.g., uremia, ketoacidosis, or electrolyte imbalance), or
Psychosis—in the absence of offending drugs or known metabolic derangements (e.g., uremia, ketoacidosis, or electrolyte imbalance)
Term
Hematologic disorder
Definition
Hemolytic anemia—with reticulocytosis, or Leukopenia—<4.0e9 cells/L (4000 cells/mm3) total on two or more occasions, or Lymphopenia—<1.5e9 cells/L (1500 cells/mm3) on two or more occasions, or Thrombocytopenia—<100e9 cells/L (100e3 cells/mm3) in the absence of offending drugs
Term
Immunological disorder
Definition

Anti-DNA antibody to native DNA in abnormal titer, or Anti-Sm—presence of antibody to Sm nuclear antigen, or Positive finding of antiphospholipid antibodies based on

(1) an abnormal serum level of IgG or IgM anticardiolipin antibodies,

(2) a positive test for lupus anticoagulant using a standard test, or

(3) a false-positive serologic test for syphilis known to be positive for at least 6 months and confirmed by negative Treponema pallidum immobilization or fluorescent treponemal antibody absorption test

Term
Antinuclear antibody
Definition
An abnormal titer of antinuclear antibody by immunofluorescence or an equivalent assay at any point in time and in the absence of drugs known to be associated with drug-induced lupus syndrome
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