To describe these patients, this writer uses these terms: There is no real consensus among physicians on how best to describe symptomatic patients who do not meet criteria, that is, who those do not have at least 10 criteria points. The new criteria require that the test for antinuclear antibody (ANA) must be positive, at least once, but not necessarily at the time of the diagnosis decision because an ANA can become negative with treatment or remission. ![]() One cannot be said to have lupus if the antibodies are abnormal but the person is well. Antibody tests count only if the patient has symptoms. (Only one counts a patient who has both antibodies does not get 12 points.) According to the classification criteria, a patient who has 10 points has lupus one who has only 9 does not. Anti-DNA antibody or an anti-Sm antibody earns 6 points. For instance, a patient with kidney disease, depending on the type of kidney disease, will be assigned 4, 8, or 10 points one with a low white blood count, 3 points and one with arthritis, 6 points. The new American College of Rheumatology (ACR) and the European League Against Rheumatism (EULAR) classification criteria assign different points to different abnormalities.ĭifferent abnormalities have different weights. Diagnostic criteria, which are used to make a diagnosis in an individual patient, do not exist for lupus.Ĭlassification criteria – which are used to select typical patients for studies like drug trials – have recently changed.
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