SLICC/ACR Damage Index

Measure accumulated damage since onset of lupus


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.


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.

Journal of Rheumatology 2000, 27 (2): 373-6

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.

Arthritis and Rheumatism 1997, 40 (5): 809-13

The SLICC/ACR Damage Index calculator is created by QxMD.

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