SLICC 12 Criteria Are More Effectiveness than ACR 97 Score about Systemic Lupus Erythematosus Diagnosis

Fabiana Almeida, G. Barros, A. Destefani
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Abstract

Introduction: Systemic lupus erythematosus (SLE) is a chronic, autoimmune disease wich variable symptoms affecting numerous organs and insidious onset of an unpredictable course, with episodes of activity and remission. The development of the disease is evaluated by a combination of clinical history, physical and laboratory tests to identify risk factors related to the stage or complications of the disease. The American College of Rheumatology (ACR 97) was the first to establish criteria for SLE classification. In 2012, The Systemic Lupus International Collaborating Clinics (SLICC 12) published a new set of criteria aimed at optimizing the classification of SLE. Objectives: Compare the criteria proposed by ACR 97 and SLICC 12 for the diagnosis of SLE and to gather information on clinical characteristics, diagnosis, and treatment. Methodology: Literature review, using the PubMed-NCBI database. The inclusion criteria were: articles published in the last five years; study in humans and selection by the direct relation with the selected theme. Results: SLICC 12 demonstrated a higher sensitivity diagnosed in reports compared with as ACR 97. Conclusion: We found that SLICC 12 is the classification criterion for SLE presenting the most excellent variety of laboratory, cutaneous, immunological and neuropsychiatric findings, allowing a better performance of the classification of patients with SLE and thus the early diagnosis of the disease.
SLICC 12诊断系统性红斑狼疮比acr97诊断更有效
简介:系统性红斑狼疮(SLE)是一种慢性自身免疫性疾病,其症状多变,影响多个器官,发病过程不可预测,有活动期和缓解期。通过结合临床病史、身体和实验室测试来评估疾病的发展,以确定与疾病分期或并发症相关的风险因素。美国风湿病学会(ACR97)是第一个建立SLE分类标准的机构。2012年,系统性狼疮国际合作诊所(SLICC12)发布了一套旨在优化SLE分类的新标准。目的:比较ACR97和SLICC12提出的SLE诊断标准,并收集有关临床特征、诊断和治疗的信息。方法:文献综述,使用PubMed NCBI数据库。入选标准为:过去五年发表的文章;在人类的研究中,选择与选择主题有直接关系。结果:SLICC12在报告中显示出比ACR97更高的敏感性。结论:SLIC-12是SLE的分类标准,在实验室、皮肤、免疫和神经精神方面表现最为出色,可以更好地对SLE患者进行分类,从而对疾病进行早期诊断。
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