Table 3.
REASONS FOR NOT MEETING ACR CRITERIA: | Number | Example |
---|---|---|
3 criteria only | N= 85 | |
Low complement - not part of ACR: | N= 17 | e.g. ANA, [low complement], arthritis, oral ulcers |
Alopecia - not part of ACR: | N= 21 | e.g. ANA, [alopecia], arthritis, lymphopenia |
Unique NP criteria not part of ACR: | N= 13 | e.g. ANA, anti-dsDNA antibody, [transverse myelitis], lymphopenia |
Unique cutaneous criteria not part of ACR: |
N= 2 | e.g. ANA, anti-dsDNA antibody, photosensitive rash, [Chillblains lupus] |
Overlapping hematologic criteria: | N=6 | e.g. ANA, seizures, [lymphopenia, thrombocytopenia] |
Lymphopenia not met by ACR: | N= 2 | e.g. ANA, APL, arthritis, [lymphopenia – NON-ACR] |
Direct Coombs’ test (DAT) in the absence of hemolytic anemia: |
N=3 | e.g. ANA, anti-dsDNA antibody, leukopenia, +DAT |
Combinations of above: | N=21 | e.g. ANA, anti-Smith antibody, oral ulcers, [alopecia], [peripheral neuropathy] |
≤ 2 criteria only: | N= 53 | |
ANA, Renal: | N=1 | e.g. ANA, Class V |
2 or more described above for ≤ 3 criteria: |
N= 52 | e.g. ANA, arthritis, [alopecia, peripheral neuropathy] |
REASONS FOR NOT MEETING EULAR/ACR CRITERIA: | ||
| ||
ANA negative: | N=25 | |
Sufficient points to meet EULAR/ACR if ANA positive: | N=21 [range 10-21, mean 13.95] | e.g. anti-dsDNA antibody, alopecia, leukopenia, thrombocytopenia |
Insufficient points to meet EULAR/ACR if ANA positive: | N=4 [range 7-9, mean 8] | e.g. low complement, oral ulcer, [neuropathy], leukopenia, thrombocytopenia |
ANA <1:80, not sufficient for entry: | N=17 | |
Sufficient points to meet EULAR/ACR
if ANA titer met entry criteria : |
N=4 [range 10–12, mean 10.75] | e.g. ANA (1:40), anti-Smith antibody, alopecia, leukopenia, [lymphopenia], thrombocytopenia |
Insufficient points to meet
EULAR/ACR if ANA titer was sufficient: |
N=13 [range 0–9, mean 6.7] | |
Overlapping criteria within same domain: |
N=5 | e.g. ANA (1:40), malar, discoid, alopecia |
At least one unique SLICC criterion: | N=6 | e.g. ANA (1:40), [photosensitivity], [neuropathy], [lymphopenia] |
Overlapping criteria/Unique SLICC criteria: |
N=1 | e.g. ANA (1:40), [neuropathy], leukopenia, thrombocytopenia |
< 10 points: | N=1 | e.g. ANA (1:40), low C3, leukopenia, alopecia |
ANA positive/sufficient titer for entry, not meeting points threshold > 10: | N=95 [range 2–9, mean 6.9] | |
Overlapping criteria: | N=18 | e.g. ANA, discoid, leukopenia, thrombocytopenia |
At least one unique SLICC criteria: | N=54 | e.g. ANA, low C3, [panniculitis], alopecia, leukopenia, [lymphopenia] |
Overlapping criteria/Unique criteria: | N=12 | e.g. ANA, anti-Smith antibody, oral ulcers, alopecia, [peripheral neuropathy] |
< 10 points: | N=11 | e.g. ANA, Renal Class V |
ANA positive/sufficient points, but immunologic criteria only: | N=1 | e.g. ANA, anti-dsDNA antibody, low complements, [RBC casts] |
Abbreviations: ACR-American College of Rheumatology, EULAR- European Alliance of Associations for Rheumatology, SLICC- Systemic Lupus International Collaborating Clinics, ANA-antinuclear antibody, NP-Neuropsychiatric, aPL = antiphospholipid antibody, RBC = red blood cell
Bolded font in Examples column: overlapping criteria falling within the same domain, [Brackets]: criteria not part of, or does not meet, the specified classification criteria