Using the American College of Rheumatology (ACR) and Systemic Lupus International Collaborating Clinics (SLICC) criteria to determine the diagnosis of systemic lupus erythematosus (SLE) in patients with subacute cutaneous lupus erythematosus (SCLE)

Journal of the American Academy of Dermatology
Janice TiaoVictoria P Werth

Abstract

Approximately 50% of patients with subacute cutaneous lupus erythematosus (SCLE) meet criteria for systemic lupus erythematosus (SLE). The Systemic Lupus International Collaborating Clinics (SLICC) developed new SLE criteria to improve the American College of Rheumatology (ACR) criteria but the SLICC criteria have not been evaluated in patients with SCLE. We sought to determine how patients with SCLE/SLE meet the ACR and SLICC criteria to compare the 2 sets of criteria. This was a retrospective analysis of 107 patients with SCLE enrolled in a database at the University of Pennsylvania. Patients with SCLE/SLE were more likely than those with only SCLE to have oral ulcers, positive anti-double-stranded DNA antibodies, and positive antinuclear antibody test findings using both sets of criteria. Patients with SCLE/SLE were also more likely to have low complement using the SLICC criteria. There was a statistically insignificant increase in individuals meeting the SLICC criteria. Not all patients received comprehensive laboratory testing. Most patients with SCLE who formally meet criteria for SLE do so based on the laboratory and mucocutaneous criteria. Neither the ACR nor SLICC criteria distinguish patients with SCLE and major inter...Continue Reading

References

Nov 1, 1982·Arthritis and Rheumatism·E M TanR J Winchester
Jan 1, 1997·Dermatology : International Journal for Clinical and Investigative Dermatology·A Parodi, A Rebora
Sep 13, 2002·Archives of Dermatology·Dana R BlackJeffrey P Callen
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Sep 13, 2006·Clinics in Dermatology·Naomi RothfieldMegan Bernstein
Aug 16, 2014·Rheumatology·Adriana R FonsecaSheila K F de Oliveira

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Citations

Nov 19, 2013·Best Practice & Research. Clinical Rheumatology·L G Okon, V P Werth
Jun 21, 2018·Journal of the European Academy of Dermatology and Venereology : JEADV·A VerdelliM Caproni
Jun 9, 2016·Current Opinion in Rheumatology·Jasmine N Stannard, J Michelle Kahlenberg
Jun 7, 2019·Lupus Science & Medicine·Joy N Jones BuieJim C Oates
Feb 27, 2020·Case Reports in Gastrointestinal Medicine·Yousaf Bashir HadiHatim Al-Jaroushi
Dec 7, 2020·Rheumatology·Martin Aringer, Sindhu R Johnson

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