An evaluation of the preliminary criteria for the diagnosis of systemic lupus erythematosus

Lie, T.; Rothfield, Naomi F.

doi:10.1002/art.1780150510

Cited by 28 publications

(10 citation statements)

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“…Reports on evaluation and testing followed the publication of the preliminary criteria. A prospective study of our own patients revealed that 96% fulfilled the preliminary criteria (10). Reports from elsewhere showed that 57.244% of patients considered to have SLE fulfilled the preliminary criteria at initial evaluation and that 71.…”

Section: Discussionmentioning

confidence: 66%

A comparison of the sensitivity of the 1971 and 1982 american rheumatism association criteria for the classification of systemic lupus erythematosus

Levin

Weinstein

Peterson

et al. 1984

Arthritis & Rheumatism

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The sensitivity of the American Rheumatism Association's preliminary and revised criteria for the classification of systemic lupus erythematosus (SLE) was tested in 156 of our SLE patients. Eighty-eight percent met the 1971 preliminary criteria. Eighty-three percent fulfilled the 1982 revised criteria when arthritis was strictly defined (nonerosive arthritis) and 91 9' 0 when arthritis was more liberally defined (nondeforming arthritis). Analysis revealed that of the 3 serologic tests added in the revised criteria (antinuclear antibody, antiSm, anti-DNA), the antinuclear antibody test accounted for the increased sensitivity of the revised criteria.The American Rheumatism Association (ARA) revised criteria for the classification of systemic lupus erythematosus (SLE) have recently been published (1). The ARA preliminary criteria for the classification of systemic lupus erythematosus had been in use since publication in 1971 (2); the revision was considered necessary in order to add newer laboratory tests such as anti-DNA and antinuclear antibody (ANA) and to regroup laboratory tests and clinical findings into specific sets so as to increase the specificity and sensitivity of the preliminary criteria. Although many studies have been reported on testing of the preliminary criteria, no such studies have been reported on the revised criteria. We have therefore tested the revised criteria on our own group of SLE patients, in order to evaluate sensitivity and compare it with that of the preliminary criteria.The results of our study reveal that the revised criteria are minimally more sensitive than the preliminary criteria and that the addition of the antinuclear antibody manifestation is the major contributor to this increased sensitivity. PATIENTS AND METHODSPatients. Outpatients or hospitalized patients followed by faculty members of the Division of Rheumatic Diseases during the period January 1, 1980 through December 31, 1982 at the University of Connecticut Health Center were considered for study. Patients were considered by their physician to have SLE, based on the presence of multisystern disease considered to be compatible with SLE. The diagnosis of SLE was made by the faculty member whether or not the patient fulfilled the preliminary criteria.Data entry and analysis. Data on the 156 patients were reviewed and information entered into a database booklet by the fellow and/or faculty member caring for the patient. Data entered by fellows were checked by the faculty member who had been responsible for the patient. The database booklet listed the 36 elements of the 2 sets of criteria exactly as defined in the literature (Tables 1 and 2).For each element, the reviewer entered one of the following: "yes," "no," "unclear," or "unknown." "Unclear" entries were reviewed by one of the authors (NFR) and were

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Section: Discussionmentioning

confidence: 66%

A comparison of the sensitivity of the 1971 and 1982 american rheumatism association criteria for the classification of systemic lupus erythematosus

Levin

Weinstein

Peterson

et al. 1984

Arthritis & Rheumatism

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“…1 The first classification criteria for SLE were developed by the American Rheumatism Association (predecessor of the American College of Rheumatology (ACR)) in 1971. 2 Immunological tests were incorporated into the criteria and revised SLE classification criteria were published in 1982. 3 The criteria, in 1997, underwent another revision and included advancing knowledge about the association of antiphospholipid (aPL) antibodies with SLE.…”

Section: Introductionmentioning

confidence: 99%

Pattern of Hematological Manifestations in Patients with Systemic Lupus Erythematosus Attending in a Tertiary Care Hospita

2017

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“…This continuing, comprehensive, prospective study (3) recruits patients under age 45 years who are residents of Memphis or Shelby County, and who are referred to the program within 6 months of first diagnosis of arthritis. Thus, unlike the preliminary criteria report, this study provides data on the applicability of the proposed SLE criteria in a community sample of early diagnosed SLE and RA patients.…”

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confidence: 99%

Preliminary criteria for the classification of systemic lupus erythematosus (SLE) evaluation in early diagnosed SLE and rheumatoid arthritis

Trimble

Townes

Robinson³

et al. 1974

Arthritis & Rheumatism

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Preliminary criteria for the classification of systemic lupus erythematosus (SLE) were applied to patients with early diagnosed SLE and rheumatoid arthritis (RA) who are participants in a prospective community study of arthritis of recent onset. Sensitivity of the criteria was 88 % , and specificity against RA was 97.5 ye. Sensitivity increased to 92 % without loss of specificity when high titer antinuclear antibody (ANA) was used as an alternative criteria manifestation to LE cells. These results show the efficacy of the proposed criteria for early diagnosed patients, and support the inclusion of high titer ANA in the SLE criteria.Recently published preliminary criteria for the classification of systemic lupus erythematosus (SLE) (1) were applied to 25 patients with a clinical diagnosis of SLE, and to 40 patients with a clinical diagnosis

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An evaluation of the preliminary criteria for the diagnosis of systemic lupus erythematosus

Cited by 28 publications

References 1 publication

A comparison of the sensitivity of the 1971 and 1982 american rheumatism association criteria for the classification of systemic lupus erythematosus

A comparison of the sensitivity of the 1971 and 1982 american rheumatism association criteria for the classification of systemic lupus erythematosus

Pattern of Hematological Manifestations in Patients with Systemic Lupus Erythematosus Attending in a Tertiary Care Hospita

Preliminary criteria for the classification of systemic lupus erythematosus (SLE) evaluation in early diagnosed SLE and rheumatoid arthritis

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