The European Consensus Lupus Activity Measurement (ECLAM)

Basal morning temperature

Does the patient feel extraordinary tiredness?

Does the patient have non-erosive arthritis involving 2 or more peripheral joints?

Does the patient have arthralgias involving 2 or more peripheral joints?

Does the patient have a maculopapular rash, malar rash,bullous eruption, purpura or urticaria?

Does the patient have digital ulcers?

Does the patient have ulcers in the mouth or nasopharynx?

Are any of the mucocutaneous findings new or worse compared to the last examina-tion?

Does the patient have any evidence of myositis?

Does the patient have any evidence of a pericarditis?

Does the patient have evidence of an active vasculitis involving the GI tract?

Does the patient have an peritoneal effusion?

Does the patient have a pleural effusion?

Does the patient have pneumonitis or interstitial lung disease?

Does the patient have a headache or migraine?

Has the patient had seizures?

Has the patient had a stroke?

Does the patient have psychosis or an organic brain disease?

24 hour urine protein

Does the urine sediment show any casts?

Does the patient have gross or microscopic hematuria?

Is the serumc creatinine elevated or the creatinine clearance decreased?

Are any of the renal manifestations new or worse compared to the last examination?

Does the patient have a hemolytic or nonhemolytic anemia?

WBC count

Percent lymphocytes in the peripheral blood (enter from 0 to 100)

Platelet count

ESR by Westergren method

Is the plasma C3 decreased?

Is the plasma CH50 decreased?

Are any complement components signficantly lower than at the last examination?

Does the patient have an active infection?

Is the patient taking a drug that is depressing the bone marrow?