BILAG Category Scores
For each of the eight systems an overall category score
is calculated on the Assessment Score Summary screen:
Category A
This denotes disease sufficiently active to merit
treatment of the disease process (as opposed to symptomatic therapy). It relates
to acute or progressive/recurrent problems. For Example: conditions require more
than 20mg prednisolone, or new or additional cytotoxics. Category A scores 9
points in the Score Summary.
Category B
Denotes awareness of a potential problem. It comprises
acute lesions that are either new or progressive but are less severe than those
in A, or mild reversible features. For Example: conditions require less than
20mg prednisolone, antimalarials, NSAIDS (alone or in combination are required.
Category B scores 3 points in the Score Summary.
Category C
Indicates current involvement of a system insufficient to
score A or B. For Example: conditions for which symptomatic therapy would be
sufficient (i.e. no indication of new or change in immuno-suppression. Category
C scores 1 points in the Score Summary.
Category D
Indicates previous involvement of a system that has now
resolved. Category D scores 0 points in the Score Summary.
Category E
Indicates that the system has never been involved.
Category E scores 0 points in the Score Summary.
Remember - Based on answers, which you enter, the
computer will calculate a clinical score. This
scoring system has been derived by considering what features of SLE usually
prompt a physician to increase disease-specific therapy (steroids or
immunosuppresants).
It
is not the intention of the score to dictate treatment decisions.
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