PMID- 26897388
OWN - NLM
STAT- MEDLINE
DCOM- 20160902
LR  - 20220410
IS  - 1097-6787 (Electronic)
IS  - 0190-9622 (Print)
IS  - 0190-9622 (Linking)
VI  - 74
IP  - 5
DP  - 2016 May
TI  - 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).
PG  - 862-9
LID - S0190-9622(15)02605-5 [pii]
LID - 10.1016/j.jaad.2015.12.029 [doi]
AB  - BACKGROUND: 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. OBJECTIVE: We 
      sought to determine how patients with SCLE/SLE meet the ACR and SLICC criteria to 
      compare the 2 sets of criteria. METHODS: This was a retrospective analysis of 107 
      patients with SCLE enrolled in a database at the University of Pennsylvania. 
      RESULTS: 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. LIMITATIONS: Not all patients received comprehensive laboratory 
      testing. CONCLUSIONS: 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 internal disease from 
      patients with SCLE without major internal disease.
CI  - Published by Elsevier Inc.
FAU - Tiao, Janice
AU  - Tiao J
AD  - Corporal Michael J. Crescenz Philadelphia Department of Veterans Affairs Medical 
      Center, Philadelphia, Pennsylvania; Department of Dermatology, University of 
      Pennsylvania, Philadelphia, Pennsylvania.
FAU - Feng, Rui
AU  - Feng R
AD  - Biostatistics and Epidemiology at the Hospital of the University of Pennsylvania, 
      Philadelphia, Pennsylvania.
FAU - Carr, Kasey
AU  - Carr K
AD  - Department of Dermatology, University of Pennsylvania, Philadelphia, 
      Pennsylvania.
FAU - Okawa, Joyce
AU  - Okawa J
AD  - Department of Dermatology, University of Pennsylvania, Philadelphia, 
      Pennsylvania.
FAU - Werth, Victoria P
AU  - Werth VP
AD  - Corporal Michael J. Crescenz Philadelphia Department of Veterans Affairs Medical 
      Center, Philadelphia, Pennsylvania; Department of Dermatology, University of 
      Pennsylvania, Philadelphia, Pennsylvania. Electronic address: 
      werth@mail.med.upenn.edu.
LA  - eng
GR  - I01 BX000706/BX/BLRD VA/United States
GR  - K24 AR002207/AR/NIAMS NIH HHS/United States
GR  - K24-AR 02207/AR/NIAMS NIH HHS/United States
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PT  - Research Support, U.S. Gov't, Non-P.H.S.
DEP - 20160218
PL  - United States
TA  - J Am Acad Dermatol
JT  - Journal of the American Academy of Dermatology
JID - 7907132
RN  - 0 (Antibodies, Antinuclear)
SB  - IM
MH  - Adult
MH  - Aged
MH  - Antibodies, Antinuclear/*immunology
MH  - Cohort Studies
MH  - Cooperative Behavior
MH  - Databases, Factual
MH  - Diagnosis, Differential
MH  - Female
MH  - Humans
MH  - Lupus Erythematosus, Cutaneous/*classification/diagnosis/immunology
MH  - Lupus Erythematosus, Systemic/*classification/diagnosis/immunology
MH  - Male
MH  - Middle Aged
MH  - Practice Guidelines as Topic/*standards
MH  - Retrospective Studies
MH  - Rheumatology/standards
MH  - Risk Assessment
MH  - Societies, Medical/standards
PMC - PMC4879000
MID - NIHMS746372
OTO - NOTNLM
OT  - American College of Rheumatology
OT  - Systemic Lupus International Collaborating Clinics
OT  - classification criteria
OT  - cutaneous lupus erythematosus
OT  - subacute cutaneous lupus erythematosus
OT  - systemic lupus erythematosus
COIS- Conflict of Interest Disclosure: None Declared
EDAT- 2016/02/22 06:00
MHDA- 2016/09/03 06:00
PMCR- 2017/05/01
CRDT- 2016/02/22 06:00
PHST- 2015/07/14 00:00 [received]
PHST- 2015/12/01 00:00 [revised]
PHST- 2015/12/10 00:00 [accepted]
PHST- 2016/02/22 06:00 [entrez]
PHST- 2016/02/22 06:00 [pubmed]
PHST- 2016/09/03 06:00 [medline]
PHST- 2017/05/01 00:00 [pmc-release]
AID - S0190-9622(15)02605-5 [pii]
AID - 10.1016/j.jaad.2015.12.029 [doi]
PST - ppublish
SO  - J Am Acad Dermatol. 2016 May;74(5):862-9. doi: 10.1016/j.jaad.2015.12.029. Epub 
      2016 Feb 18.