BILAG (British Isles Lupus Assessment Group index)PatientDateAll tbiXics tnuU be dtttibaubU to SLE ad refer the last fbor vccks cofxpircd with the pciei nsit* disease icdvity. indi:ote &nd were which tetnrx air prweat: I) = Net l*reicirt. I = Irapravin慶 2 - Some. 3 - Wortc, 4 = New ar Rccturefxje.Gonoral - MUST BE SLE RELATEDNmirokgl MUST BF SLE RELATED1 Pyraxia (docLrrcinKxi)2. Weight Loss - urinter«ooal >5%3 l>n-ph3d6nopath/SptencneQaly4. FatoMitatetoe/Lelhaffly5. Anorexia'fwMucoEiitancoBE SLE RELATED36V6C0.24. Oetaoralno l/el of corv&douen&sfi25. Aciro peycboclc. dollrum. coMuwion26 Seizures27. Strae or stoKe syrKkc<ne2& Asoptc rnlngWs29 Mcmonaurks0 12 3 40 12 3 46. Msajlopaou acfvq (ttiBoms)7 Macukyapuiar gcxpHs-E詁8 Act/8 dlsoDld bsons- snerWiffid9. AcT/0 dlCODld tOCQWS hCC3li26dHcJudng bpLa; profUndLai,0 Atopada acfvri仇 AtofTalmlkO1Z PannkotHtts /ere)30 AMrdirg ortran$ver»e nyBlitte3( Peripheral or cranial rKsuropathy32 Discbod ok33. CtKcea13. Angioadoma0 12 3 437. Orgsrte cran tyndromo Ir.citdirg 12 3 414 ExtenshB mxosal uteralizr0 4 2 3 4Peudotumor cersbd0 12 3 415. Smai mucced Ucore0 12 3 433. Eueod rrH2ronoue boocachoc 12 3 416 Malar orythfifg0 12 3 4MuKCUtmkolotil MUST BE SLE RELATED17. Siixutafwoja fwdjios0 4 2 3 439 Dctnfte rrwelt (3oxn & Petor)0 4 2 3 410. Pemloti: Skr Lesions0 4 2 3 440. S/ar© Poyanhritte wth toee of function0 12 3 41© Pa-lungal aytba(na0 12 3 441 Arfrrlih;0 12 3 420 Stolon HngarKy“ Dwo42 Tondonif；0 12421. SWro曲GW Y68 DKiO43 MIW cNnne rreiitfe0 12 3 444 Athraigto 12 3 422 CalcinosisYes DNo450 4 2 3d23. TolancHectsete Y68 DKto46. TortJon coritriKrturce and flxixl ctetocmityYec DNo47. Acopdc nocnxik;v©« DNo34 CereMardSMo35. Heed日che3/8W.irf<g36. Orgerlc doproBei/o lllnoseCwdlovdSUiUr &R啊Initory MUST M SLE RCLATEDRenal MUST BE SLE RELATEDSLEd4«. Pteuropertcsfdtel psin0 1 2 3 勾68 Syslolc RlorxJ Prauw Enter 対 3)49 Dyxpnaa0 12 3 469. Dastoic Blood Pressure 回 tor ”3hojmm也50 Ca-dlx Failiro0 12 3 470. Accoaaod Hypcron此n Yg UNO51. Frtctkxi Rub0 12 3 471. Uirw dlp«lk:k (Enxx valuo) <-=0)(* = f)(r = 2)(i = 3)52 Effuslcn (certosrdfil or plaurel)0 12 3 4椅TUriqiy gtshTReccrd a ofBJa. 24 hr urtnary procoinb. Oino prc<ein-5*8atl!» ratioa0bmrm'mrrol&3. MM or inwininerv: ch&st psin0 1 2 3 勾73. Protdnuria (Racard or b)a M«v4y dccumented proteinuna of > 1qi24 hccjreb. Mswfydcajmaitod protoin-croaCno ratio ol >100rr»rTTTXj|a QYes QNob. DYoc OnoW PrDgxgS CXR changos - lir»g ti&ds rlf Ktot Done. / NO on EDC BILAGY«sOR Orde:No/NotDona74 Mphniic Syndrome丫曲 DhfoS5. Procroee»vecm fla- h<KM kUo *1( Not Dono.p NO u<i EDC BILAGYec OROrcioMo/NotDonafS. Cra3dnlf» (wirni (Erilor vuIjo)mgfd% ECG evkfew of MMcwctte w Myoasrdtte 11 Not Dono.->NO cn H>C BILAGYas OROrdeNo J Not Dona76. Cruadnlna dcu«unaSFR< Enter veije)57 Ordtec dyvhyttfdds indudl切 tachycardia >ICO in theorrr rnNC< DOf».< NO on EDC BiLAGYas OR OdeNorNotDona77. Actve urnary fi&dlment Y« QMoM Pulmonary firxflan fll ty 20% Tf Nat Dcne.VNOcnEDCQILAGYas OROrdoNo J Not DonaTB. Histological oJdnca c/ Neohrtito wtthh 3 monlis Yft3 DMo59. Cytohleioltxilcs! Jdence of innammacoc/ ung dlseoeo * ns DcfiQ.x' MO on EDC BILAGUYbsOR CW6Nof Nd! Com86. Evkfenc© cf ckcutetlg ancicoaouianty&3 OnoV3Kcutsr MUST BE SLE RELATEDMmMology MUST BE SLE RELATED60 Mejor aXaneojs va&culils ln<3. ulcers0 12 3 479. Hemoglobin ©91) (EMervaliw)61. Msjor doaomiMl ctlsi8 dua to vascdlis0 12 3 480. Total xvrto cell oounc (x 10譏) (Fntttrvalua)xtcfn.62 R«ojnan1 thrarrboGniboUs e»cljdng strokes0 12 3 4®1 Neulraphik (x itf/L) (Enter &ub)63. Raynaud's0 12 3 482 Lymptiocytss (x Itf/l) (Enter yaiuo)xltfJL64. u*/do roflcuhris0 12 3 483. Pla»I6)8 |xiOL)(Erter73li>3)xioaJL66. Sugrticial phlcblQfi0 12 3 484. EvMonco c( accK'O honolydc Yce Ohd66. Minor ojtohooue vasculOc(nallfoki vacultiis cfgiUl uascditis)0 12 3 485. Cocmbs tea pociO/'o Yds Dtto67 ThromboemboUsni (excl. eiroke) (firet epkcda)Yoc ONo86 Ederce cfcraiteUng antkxaoulant畑也