Investigations

  • Complete history
  • Complete physical exam
  • Labs: CBC, Creatinine, LFTs, C3, C4, ESR, CRP, urine protein / creatinine ratio
  • Antibodies: ANA, ENA panel, antiphospholipid antibodies
  • Anti-dsDNA: Correlates with SLE activity and lupus nephritis
  • Anti-sm: serositis
  • Anti- rRNP: neuropsychiatric lupus
  • Anti Ro/La – subacute CLE (including drug-induced subacute), neonatal lupus
  • Antihistone: Drug-induced SLE
  • ANA is positive in 1/3 of normal people at dilution 1:40; 5% at 1:160, and 3% at 1:320