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1、BILAG(British Isles Lupus Assessment Group index)Patient Date All fcimrw rmM be attributable to SLE snd refer the l*t fow weda comparod with the phor viEk dineftic activity Indicsic and score which tbirurc*arc preww:0=Not Present.I=Improving,2=Same.3=W5%3 Lymph皿fMthy/$plonocTWQaly 4 FatlQgMatoU。此崔隘r
2、gy 24 Deterkxatlng level of consciousness 25 Acuta psychosis,delrlum.confusion 0 12 3 4 0 12 3 4 5 AnoroxinaiMglng Mucocutarco.m.ST BE SLE RELATED 6.MacutopuBRPKi-&ave 124 hours b.Newly documented protelrvcroatHe ratio of a.DYtts QNo b.QY ONo 54.Progres&ve CXR changes-lung Mds F Not Done.C NO on EDC
3、 BILAG TlYofiOR Clreir No/Not Done 74 Nophrolic Syndromo Yes ONo 55.Progressive CXR ,-bean size F No100 in the absence of fever If Not Dorw.V NO on EDC BILAG Yes OR Circle No/Not Dono 77 Acto urinary SQdlm0n(Yy QNo 58.Pulmonary function taN by 20%!(Not Don心 NO on EDC BILAG PYMISR-Clrde No/Not Done 7
4、6.Hstotoglcal evldonco of gvo NegfWs-wthh 3 month*Yes QNo 59 Cytohl$toogical evidence of Inflammatory lung dlwas*lf Not Don。,、,NO on EDC BILAG PVosOR Clrde No/Not Dono 86 EvIderKe of circulating antlooagulant Yes DNo Vascular-MUST BE SLE RELATED Hamatology-MUST BE SLE RELATED 60.Major cutaneous vasc
5、ulitis Ind.ufcers 0 12 3 4 79.Hemoglobin dl)(Enter value)61.Ma|or abdominal crisis due to vasojIUts 0 12 3 4 80.Total white cell count(x/L)(Enter value)_ 也 62.FUarrent thromboomboltsm axclLKing tfrokos 0 12 3 4 81 eutrophlls(x1(f/L)(Enter value)x10*it 63.Raynauds 0 12 3 4 82.Lymphocytes(x 1(?/L)(Ent
6、er value)_ 64.LMdo reticularis 0 12 3 4 83.Platelets(x 10(Entervalue)xlOit 65 CupdlcJel phAebtta 0 12 3 4 84 evidence of edlve hemof JVJ LJNo n 66 Minor oManeous vasculfci(nalltod vsttcultlte.dlglul vaicumi)0 12 3 4 85 Coombc tost pcxltfvo Y”QNO o/.1 nroTriDOOiTiDOiisni(excl stroke)(first episode)Yes DNo 86.Evklenco at crculating anticoagulant Yes DNo