Criteria |
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Entry criteria |
Antinuclear antibody by HEp-2 immunofluorescence ≥ 1:80 |
Low C3 and/or low C4 |
Additive criteria |
Lupus nephritis by renal biopsy with immune deposits |
Rash with dermoepidermal interface changes and/or Ig and/or complement deposition on immunofluorescence |
Anti-dsDNA antibody |
Anti-Sm antibody |
Presence of multiple autoantibodies* |
aPL (LAC, aCL, anti-β2–glycoprotein 1, or prolonged Russell’s viper venom time) |
Leukopenia (< 4000/mm3 on 2 or more occasions) |
Thrombocytopenia < 100,000 on 2 or more occasions |
Autoimmune hemolytic anemia |
Active urine sediment (without urinary tract infection) |
Persistent proteinuria (≥ 0.5 g/day) |
Acute cutaneous lupus: SLICC definition (includes subacute cutaneous lupus) |
Chronic cutaneous lupus: SLICC definition |
Alopecia with associated scalp inflammation |
Arthritis* |
Serositis (pleural, pericardial effusion, pleurisy, pericarditis, peritonitis) |
Oral mucosal lesions on the hard palate |
CNS manifestations (seizures, psychosis, chorea, myelitis, optic neuritis, stroke or acute confusional state) |
Fever* |
↵* To be defined. SLICC: Systemic Lupus International Collaborating Clinics; CNS: central nervous system; aPL: antiphospholipid antibodies; LAC: lupus anticoagulant; aCL: anticardiolipin.