Entry criterion: ANA ≥ 1:80. Then weighted criteria - only the HIGHEST-weighted item in each domain counts; ≥10 points classifies SLE.
The EULAR/ACR SLE Classification (2019) is a rheumatology scoring tool used in paediatric practice. Entry criterion: ANA ≥ 1:80. Then weighted criteria - only the HIGHEST-weighted item in each domain counts; ≥10 points classifies SLE. It scores 11 criteria and interprets the total across 2 bands, so the number always arrives with the severity it implies rather than on its own. In PediAid each criterion is shown as a labelled option with the weight it carries, so the total can be checked rather than taken on trust.
11. They are ENTRY - ANA ≥ 1:80 on HEp-2 cells (required); Constitutional - fever; Haematological - leucopenia (2) / thrombocytopenia (4) / autoimmune haemolysis (4); Neuropsychiatric - delirium (2) / psychosis (3) / seizure (5); Mucocutaneous - non-scarring alopecia (2) / oral ulcers (2) / subacute or discoid lupus (4) / acute cutaneous lupus (6); Serosal - pleural or pericardial effusion (5) / acute pericarditis (6); and others.
The total is interpreted as: any score - Does not classify: fewer than 10 points, or ANA negative. Without a positive ANA (≥1:80) the criteria cannot be applied at all; 10 points or more - Classifies as SLE: ≥10 points with a positive ANA and at least one clinical criterion - classifies as SLE (sensitivity 96%, specificity 93%). Classification supports, but does not replace, clinical diagnosis.
No. It is a structured way to record and communicate severity. A clinician concerned about a child should act on that concern regardless of the total.
Each toggle here carries the HIGHEST weight in its domain - deselect and use clinical judgement if only a lower-weighted item in that domain is present.
Yes. Score definitions are bundled with the PediAid app, so the score computes without a connection.