Skip to Content

Committed to Safety: As we resume services, we are taking all necessary precautions to keep you safe while we care for you. Limited visitation is now in place. Review all our visitor policies and precautions. Get more information on COVID-19.

Lupus: Criteria for Diagnosis

Topic Overview

The following criteria are used to distinguish lupus (systemic lupus erythematosus, or SLE) from other autoimmune and rheumatic diseases.

A person with 4 of these 11 conditions can be classified as having lupus. These conditions may be present all at once, or they may appear in succession over a period of time.footnote 1

  • Butterfly (malar) rash on cheeks
  • Rash on face, arms, neck, torso (discoid rash)
  • Skin rashes that result from exposure to sunlight or ultraviolet light (photosensitivity)
  • Mouth or nasal sores (ulcers), usually painless
  • Joint swelling, stiffness, pain involving two or more joints (arthritis)
  • Inflammation of the membranes surrounding the lungs (pleuritis) or heart (pericarditis)
  • Abnormalities in urine, such as increased protein or clumps of red blood cells or kidney cells, called cell casts
  • Nervous system problems, such as seizures or psychosis, without known cause
  • Problems with the blood, such as reduced numbers of red blood cells (anemia), platelets, or white blood cells
  • Laboratory tests showing increased autoimmune activity (antibodies against normal tissue)
  • Positive antinuclear antibody (ANA) test

References

Citations

  1. Crow MK (2016). Systemic lupus erythematosus. In L Goldman, A Shafer, eds., Goldman-Cecil Medicine, 24th ed., vol. 2, pp. 1769–1777. Philadelphia: Saunders.

Credits

Current as of: December 9, 2019

Author: Healthwise Staff
Medical Review: Anne C. Poinier MD - Internal Medicine
Martin J. Gabica MD - Family Medicine
E. Gregory Thompson MD - Internal Medicine
Kathleen Romito MD - Family Medicine
Nancy Ann Shadick MD, MPH - Internal Medicine, Rheumatology

Wellness Matters

Subscribe to our Wellness Matters e-newsletter, a monthly snapshot of the some of great wellness content from Cone Health providers.

Subscribe Now