Clinical and laboratory parameters attributable to systemic lupus erythematosus (SLE), assessed at each outpatient visit
Manifestation | Description |
1. Arthritis | Number of swollen joints in 28-joint count. |
2. Localized skin rash | Acute, subacute and chronic cutaneous lupus rashes included in the SLICC classification criteria, only above the neck. |
3. Generalized skin rash | Acute, subacute and chronic cutaneous lupus rashes included in the SLICC classification criteria, above and below the neck. |
4. Alopecia | Abnormal, patchy or diffuse loss of hair. |
5. Mucosal ulcers | Oral or nasal ulcerations. |
6. Systemic vasculitis | Systemic vasculitis involving large and medium-sized vessels and lupus enteritis. |
7. Mucocutaneous vasculitis | Any mucocutaneous vasculitis and chilblain lupus. |
8. Neuropsychiatric involvement | Neuropsychiatric features included in the SLICC classification criteria for SLE, including recent onset of seizure, psychosis, organic brain syndrome, acute confusional state, SLE retinal changes, peripheral neuropathy, myelopathy, lupus headache, cerebrovascular accident and aseptic meningitis. |
9. Cardiac/pulmonary involvement | Including shrinking lung, interstitial pneumonitis, diffuse alveolar haemorrhage, pulmonary hypertension, myocarditis, valvular dysfunction, Libman-Sacks endocarditis. |
10.Serositis | Including sterile peritonitis in addition to pleurisy and pericarditis. |
11.Myositis | Proximal muscle aching/weakness with elevated CK/aldolase or electromyogram changes or a biopsy showing myositis. |
12.Proteinuria | Urinary protein-creatinine ratio (mg/g) or 24 hours urinary protein (mg/24 hours), above 500 mg/g and 500 mg/24 hours, respectively. |
13.Hypocomplementaemia | Decrease in C3 or C4 below the lower limit of normal for testing laboratory. |
14.Increased anti-dsDNA | Increase in DNA binding above the upper limit of normal for testing laboratory. |
15.Thrombocytopenia | Platelet count (10^9/L), below 100x10^9/L platelets. |
16.Leucopenia | Leucocyte count (10^9/L), below 3x10^9/L white blood cells. |
17. Haemolytic anaemia | Anaemia with positive direct Coombs test, increased serum LDH and low serum haptoglobin. |
CK, creatine kinase; LDH, lactic dehydrogenase; SLICC, Systemic Lupus International Collaborating Clinics.