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The systemic lupus international collaborating clinics American College of Rheumatology Damage index (SLICC/ACR DI) was developed to quantify damage that has occurred since onset of lupus.
It has been shown to be a valid measure for damage and correlates with mortality.
In this index, damage is defined a non-reversible change, not related to active inflammation, occurring since the onset of lupus, ascertained by clinical assessment and present for at least 6 months. 'Repeat' episodes mean at least 6 months apart to score 2. The same lesion cannot be scored twice.
References
Gladman DD, Goldsmith CH, Urowitz MB, Bacon P, Fortin P, Ginzler E, Gordon C, Hanly JG, Isenberg DA, Petri M, Nived O, Snaith M, Sturfelt G
The Systemic Lupus International Collaborating Clinics/American College of Rheumatology (SLICC/ACR) Damage Index for Systemic Lupus Erythematosus International Comparison.
J Rheumatol. 2000;27(2):373.
Gladman DD, Urowitz MB, Goldsmith CH, Fortin P, Ginzler E, Gordon C, Hanly JG, Isenberg DA, Kalunian K, Nived O, Petri M, Sanchez-Guerrero J, Snaith M, Sturfelt G
The reliability of the Systemic Lupus International Collaborating Clinics/American College of Rheumatology Damage Index in patients with systemic lupus erythematosus.
Arthritis Rheum. 1997 May;40(5):809-13.
Stoll T, Seifert B and Isenberg DA
SLICC/ACR Damage Index is valid, and renal and pulmonary organ scores are predictors of severe outcome in patiens with systemic lupus erythematosus.
British J of Rheum. 1996;35:248-254.
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