Systemic Lupus Erythematosus Diagnostic Criteria

Rheumatology and Immunology

The 1997 Update of the 1982 American College of Rheumatology (ACR) Revised Criteria for Classification of Systemic Lupus Erythematosus.

The 11 Criteria for diagnosing SLE from the ACR.

Note

  • The ACR criteria are designed to identify patients with SLE have 85% sensitivity and 95% specificity for SLE.
  • You need any 4 or more of the 11 criteria (serially or simultaneously) during any interval observation.
  •  A rheumatologist could still diagnose a patient with SLE who has < 4 criteria. Such a diagnosis would depend on clinical judgment.
  • Suspect SLE if the patient has clinical features affecting ≥ 2 organ systems noted in the 11 classification criteria for SLE from the ACR.
  • Patient unlikely to have SLE if she has a positive ANA without any organ system involvement or the typical SLE laboratory findings.

 

Reference/ Source

https://www.rheumatology.org/Practice-Quality/Clinical-Support/Criteria/ACR-Endorsed-Criteria

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