Description

British Isles Lupus Assessment Group (BILAG) developed an index for evaluating disease activity in patients with systemic lupus erythematosus (SLE). The index is based on several findings, each of which is categorized. The authors are from multiple universities in Great Britain.


 

Severe mucocutaneous manifestions include:

(1) extensive mucosal ulcerations

(2) angio-edema

(3) severe maculopapular eruption

(4) severe discoid eruption

(5) severe bullous eruption

 

where:

• A severe eruption involves any of the following: disability, scarring, and/or > 22% of body surface area involved.

 

Moderate mucocutaneous manifestions include:

(1) malar erythema

(2) mild maculopapular eruption

(3) panniculitis

(4) localized active discoid lesions (includes lupus profundus)

(5) severe active alopecia

(6) subcutaneous nodules

(7) pernio skin lesions

 

where:

• A mild discoid or bullous eruption might also be classified as moderate..

 

Mild mucocutaneous manifestions include:

(1) peri-ungual erythema

(2) swollen fingers

(3) sclerodactyly

(4) calcinosis

(5) telangiectasia

(6) mild alopecia

(7) small mucosal ulcerations

Severe

Moderate

Mild

Status

Category

any

NA

NA

current

A

none

any

NA

current

B

none

none

any

current

C

none

none

none

previous

D

none

none

none

never

E

 


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