Table 2.

American College of Rheumatology criteria in early onset (< 50 yrs) vs late onset (≥ 50 yrs) SLE.

Early OnsetLate Onsetp
Mean no. of ACR criteria met5.98 ± 1.685.24 ± 1.440.007*
Malar rash813 (63.9)72 (51.1)0.002*
Renal613 (49.0)33 (24.1)< 0.0001*
Proteinuria252 (80.3)6 (37.5)< 0.0001*
Neurological130 (11.0)6 (4.3)0.01*
Hematologic1010 (77.9)102 (68.0)0.006*
Immunologic1128 (86.3)118 (79.7)0.006*
Serositis442 (36.1)45 (32.1)0.2
Pleuritis/pleural effusion209 (76.8)25 (73.5)0.4
Seizures46 (58.2)1 (20.0)0.1
Psychosis29 (37.7)1 (25.0)0.5
Hemolytic anemia111 (21.3)8 (13.1)0.09
Discoid rash183 (15.4)24 (17.9)0.3
Photosensitivity676 (54.2)77 (55.0)0.5
Arthritis1041 (79.8)125 (83.9)0.1
Pericarditis116 (43.8)15 (45.4)0.5
Cellular casts152 (50.2)11 (64.7)0.2
Oral/nasal ulcerations668 (53.4)80 (58.0)0.2
Lupus inhibitor/anticoagulant52 (19.3)8 (27.6)0.2
False-positive VDRL19 (6.9)4 (13.3)0.2
Thrombocytopenia171 (31.8)21 (33.9)0.4
Lymphopenia385 (69.7)46 (70.8)0.5
  • * Statistically significant. ACR: American College of Rheumatology; VDRL: Venereal Disease Research Laboratory.