SLE Lupus Central Nervous System Index | Medical Algorithm

Description

British Isles Lupus Assessment Group (BILAG) developed an index for evaluating disease activity in patients with systemic lupus erythematosus (SLE). The index is based on several findings, each of which is categorized. The authors are from multiple universities in Great Britain.

Patient selection: first clinical assessment

Severe manifestations of nervous system involvement:

(1) impaired level of consciousness

(2) psychosis

(3) delirium or confusional state

(4) grand mal seizure

(5) stroke or stroke syndrome

(6) aseptic meningitis

(7) mononeuritis multiplex

(8) ascending or transverse myelitis

(9) peripheral or cranial neuropathy

(10) chorea

(11) cerebellar ataxia

Moderate manifestations of nervous system involvement:

(1) severe, unremitting headache

(2) organic depression

(3) chronic brain syndrome (pseudotumor cerebri, other)

(4) optic disc swelling on fundoscopic exam

(6) cytoid bodies (cotton wool spots) on fundoscopic exam

Mild manifestations of nervous system involvement:

(1) episodic migraine headaches

Severe	Moderate	Mild	Status	Category
any	NA	NA	current	A
none	any	NA	current	B
none	none	any	current	C
none	none	none	previous	D
none	none	none	never	E

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Description

Specialty

Objective

ICD-10

BILAG Categories for Nervous System Manifestations of SLE

Purpose: To categorize nervous system findings in a patient with systemic lupus erythematosus (SLE) being evaluated with the BILAG index.

Description

Specialty

Objective

ICD-10