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Dialogue: Cutaneous lupus erythematosus: a lone Wolf?
  1. Andrew G Franks Jr1 and
  2. Antonio Guilabert2
  1. 1Skin Lupus & Autoimmune Connective Tissue Disease Section, NYU School of Medicine, NewYork, NewYork, USA
  2. 2H de Granollers, Granollers, Spain
  1. Correspondence to Professor Andrew G Franks Jr; andrew.franks{at}nyumc.org

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The expansion of genetic, genomic, environmental and metabolic knowledge that contributes to the immunological dysregulation in lupus is extremely challenging to those attempting to establish a ‘gold standard’ classification of systemic lupus erythematosus (SLE).1 An approach that incorporates this information into its classification may help in attaining more uniform comparison of patient data across all populations. The Systemic Lupus International Collaborating Clinics (SLICC) represented an 8-year effort of review, consensus and statistical analyses which sought dermatological expert opinion and strived to improve on the revised American College of Rheumatology (ACR) classification.2 These criteria included a more detailed classification of skin manifestations and attempted to address the issue of excessive weighting of skin criteria in the ACR SLE scheme. SLICC included additional components of cutaneous lupus that were absent in the ACR criteria such as alopecia and eliminated the somewhat redundant photosensitivity, but one can have discoid rash, malar rash, …

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