How is systemic lupus erythematosus diagnosed?

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    Last Updated: May 16, 2025

    Systemic lupus erythematosus is diagnosed through a combination of subjective findings from a medical history and physical exam, along with objective findings from various blood and urine tests, imaging, and biopsies. After completing these tests, medical providers may apply a validated set of criteria to confirm the diagnosis.

    There is no single test to diagnose SLE. Instead, SLE is diagnosed with a combination of subjective and objective findings in conjunction with the exclusion of other diagnoses. The subjective findings include a thorough history and physical exam performed by a qualified medical provider (often a rheumatologist). The objective findings include blood tests (e.g., complete blood count, creatinine, antibody testing, complement testing, blood clotting tests); urine tests (which help to detect kidney issues); and, when indicated, imaging tests and biopsies to check for specific tissue damage/injuries.[1]

    Once all diagnostic tests are completed, medical providers may use a validated set of criteria to determine if someone has SLE

    How is systemic lupus erythematosus diagnosed? - Examine