Systemic Lupus Activity Measure (SLAM)

Usual body weight

Unintentional weight loss (enter 0 if none)

Body temperature

Does the patient have an oral or nasal ulcer?

Does the patient have a malar rash or photosensitivity?

Does the patient have periungal erythema or a nail fold infarct?

Percent of body surface area with erythematous or maculopapular rash (enter from 0 to 100)

Percent of body surface area involved with discoid lupus, lupus profundus or bullae (enter from 0 to 100)

Percent of body surface area involved by vasculitic lesions (enter from 0 to 100)

Is Raynaud's present?

Diastolic blood pressure

Hematocrit (enter from 0 to 100)

WBC count

Percent lymphocytes in differential count (enter from 0 to 100)

Platelet count

ESR by Westergren method

Serum creatinine

Creatinine clearance as percent of normal (enter from 0 to 100)

Number of RBC per hpf in the urine sediment

Number of WBC per hpf in the urine sediment

Granular casts per hpf in the urine sediment

Urine protein in a 24 hour specimen

Fatigue

Alopecia

Cytoid bodies in eyes

Ocular hemorrhages

Episcleritis

Papillitis or pseudotumor cerebri

Lymphadenopathy

Hepatomegaly

Splenomegaly

Effusion and/or pleurisy

Pneumonitis

Carditis

Abdominal pain

Stroke syndrome

Seizure activity

Mental status

Cognitive function

Headache

Myalgia or myositis

Joint pain from synovitis or tenosynovitis

Proteinuria by dipstick