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rheumatology

SLEDAI-2K (SLE Disease Activity Index)

SLEDAI-2K (Gladman 2002): 24 weighted descriptors of lupus activity present at the visit or in the preceding 10 days (0–105). Tick every descriptor that is present.

Score interpretation

No Activity

→ Maintenance therapy; hydroxychloroquine; 3-6 monthly review

Mild Activity

→ Maintenance therapy; hydroxychloroquine; 3-6 monthly review

Moderate Activity

→ Consider steroids; DMARD optimisation (azathioprine, MMF); rheumatology review

High Activity

→ High-dose steroids; consider biologic (belimumab, anifrolumab); organ-specific treatment (lupus nephritis: MMF or cyclophosphamide)

Very High Activity

→ High-dose steroids; consider biologic (belimumab, anifrolumab); organ-specific treatment (lupus nephritis: MMF or cyclophosphamide)

Interpretation bands for the SLEDAI-2K. Apply clinical judgement and local guidance.

References

Related

Curated clinical cross-links plus same-class fallbacks.

Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.