Comparison between three systems of classification criteria in juvenile systemic lupus erythematous

Abstract

In this JSLE population, the SLICC criteria performed best in terms of sensitivity and accuracy at the first visit and within the first year of follow-up.

Toward new criteria for systemic lupus erythematosus—a standpoint

“…12 While specificity was usually considered satisfactory, the sensitivity of the ACR criteria has been seen as suboptimal, in new-onset and childhood SLE in particular. 13 Moreover, the 1997 revision was never formally tested. The latter has changed through a substantial effort by the SLICC group to devise new SLE criteria.…”

“…Several groups have compared the two sets, and there is complete agreement that the SLICC criteria are more sensitive. 13,[17][18][19][20] The SLICC criteria sensitivity has been found in the range between 92% and 97%, whereas the 1997 ACR criteria had 77% to 91% sensitivity. However, and not entirely unexpectedly given the similar structure, specificity dropped from 91-96% for the 1997 ACR criteria to 74-88% for the SLICC criteria.…”

Childhood-onset systemic lupus erythematosus: early disease manifestations that the paediatrician must know

“…A recent Systemic Lupus Collaborating Clinics (SLICC) classification criteria were tested and validated for cSLE populations and were compared to the 1997 revised ACR criteria [11,12]. The main changes in the SLICC criteria compared to ACR criteria were a redefinition of the four cutaneous criteria, inclusion of the urine protein:creatinine ratio, extension of neuropsychiatric criteria, separation by each cytopenias, autoantibodies in individual criterion, and the addition of nonscarring hair loss and hypocomplementemia.…”

Perbandingan Diagnosis Systemic Lupus Erythematosus Menggunakan Kriteria American College of Rheumatologi dan Systemic Lupus International Collaborating Clinics

“…Penyakit ini merupakan sindrom klinis yang didasari disregulasi sistem imun dan ditandai oleh pembentukan auto-antibodi antinukleus (ANA), terutama anti dsDNA yang selanjutnya akan membentuk kompleks imun dan terjadi inflamasi serta kerusakan jaringan. 1 Pada anak, insidens SLE mencapai 10-20 kasus per 100.000 anak dan umumnya lebih sering ditemukan pada anak perempuan di atas usia 10 tahun. Secara keseluruhan, gejala klinis pasien SLE, 15%-17% timbul pada umur di bawah 16 tahun dengan puncak insidens pada umur 10-14 tahunm sangat jarang muncul di bawah usia 4 tahun.…”