Systemic Lupus Activity Measure (SLAM)

Measures disease activity in systemic lupus erythematosus over the previous month.

Select the level that best reflects each finding during the previous month and calculate the total score.

Items

All findings should refer to the previous month.

Weight loss

Fatigue

Fever

Oral/nasal ulcers, periungual erythema, discoid rash, photosensitivity, or nasal fold infarction

Alopecia

Erythematous or maculopapular rash

Vasculitic lesions

Cytoid bodies

Retinal/choroidal hemorrhage or episcleritis

Papillitis or pseudotumor cerebri

Diffuse lymphadenopathy

Hepatosplenomegaly

Pleural effusion/pleurisy

Pneumonitis

Raynaud phenomenon

Hypertension

Carditis

Abdominal pain

Stroke syndrome

Seizure activity

Cortical dysfunction

Headache

Myalgia or myositis

Joint pain from synovitis or tenosynovitis

Patient self-assessment/global assessment

Hematocrit

WBC count (/mm3)

Lymphocyte count (/mm3)

Platelet count (×10^9/L)

ESR (mm/h)

Serum creatinine or creatinine clearance

Urine sediment

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Important Notice

This resource is intended for educational purposes only and is intended for US healthcare professionals. Healthcare professionals should use independent medical judgment. All decisions regarding patient care must be handled by a healthcare professional and be made based on the unique needs of each patient.