SYSTEMIC LUPUS ERYTHEMATOSUS ("SLE") Sample Clauses

SYSTEMIC LUPUS ERYTHEMATOSUS ("SLE"). 2.1. A diagnosis of systemic lupus erythematosus ("SLE") shall be made in accordance with the "1982 Revised Criteria for the Classification of Systemic Lupus Erythematosus," 25 Arthritis and Rheumatism No. 11 (November 1982) adopted by the American College of Rheumatology. See Xxxxx, et al., 4th ed. at 1037, Table 61- 11: A diagnosis of lupus is made if four of the eleven manifestations listed in the table were present, either serially or simultaneously, during any interval of observations. CRITERION DEFINITION Malar rash Fixed erythema, flat or raised, over the malar eminences, tending to spare the nasolabial folds Discoid rash Erythematous raised patches with adherent keratotic scaling and follicular plugging; atrophic scarring may occur in older lesions Photosensitivity Skin rash as a result of unusual reaction to sunlight, by patient history or physician observation Oral ulcers Oral or nasopharyngeal ulceration, usually painless, observed by a physician Arthritis Nonerosive arthritis involving two or more peripheral joints, characterized by tenderness, swelling or effusion Serositis (a) Pleuritis – convincing history of pleuritic pain or rub heard by a physician or evidence of pleural effusion or (b) Pericarditis -–documented by ECG or rub or evidence of pericardial effusion Renal disorder (a) Persistent proteinuria greater than 0.5 g/day or greater than 3+ if quantitation not performed or (b) Cellular casts – may be red cell, hemoglobin, granular, tubular, or mixed CRITERION DEFINITION Neurologic disorder (a) Seizures – in the absence of offending drugs or known metabolic derangements; e.g., uremia, ketoacidosis, or electrolyte imbalance or (b) Psychosis – in the absence of offending drugs or known metabolic derangements; e.g. uremia, ketoacidosis, or electrolyte imbalance Hematologic disorder (a) Hemolytic anemia – with reticulocytosis or (b) Leukopenia – less than 4000/mm total on 2 or more occasions or (c) Lymphopenia – less than 1500/mm on 2 ore more occasions or (d) Thrombocytopenia – less than 100,000/mm in the absence of offending drugs Immunologic disorder (a) Positive LE cell preparation or (b) Anti-DNA – antibody to native DNA in abnormal titer or (c) Anti-Sm-presence of antibody to Sm nuclear antigen or (d) False positive serologic test for syphilis known to be positive for at least 6 months and confirmed by Treponema pallidum immobilization or fluorescent treponemal antibody absorption test Antinuclear antibody An abnormal titer of antinuc...