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Correspondence
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Volume 351:1149-1150 September 9, 2004 Number 11
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Case 11-2004: A Boy with Rash, Edema, and Hypertension

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by Somers, M. J.
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To the Editor: In the discussion of Case 11-2004, which involved a young boy with systemic lupus erythematosus, Dr. Somers and colleagues (April 8 issue)1 state that "a definitive diagnosis of systemic lupus erythematosus requires that 4 of 11 criteria be met over time." This statement unfortunately perpetuates a common misconception. The American College of Rheumatology criteria for the classification of rheumatic diseases, including the criteria for the classification of systemic lupus erythematosus,2,3 are empirical and not intended to include or exclude a particular diagnosis in any individual patient. The main intent of establishing these criteria was to offer a . . . [Full Text of this Article]



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