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Study No Date Data JSLE - MINI BILAG (Page 1 of 4)

Study No Date Data JSLE - MINI BILAG (Page 1 of 4)

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* 47 Cerebellar ataxia<br />

48 Movement disorder<br />

* 49 Headache severe, unremitting<br />

50 Episodic migrainous headaches<br />

* 54 Organic depressive illness<br />

* 57 Organic brain syndrome<br />

Musculoskeletal<br />

* 58 Definite myositis<br />

60 Mild chronic myositis<br />

61 Myalgia<br />

* 62 Severe polyarthritis - with loss <strong>of</strong> function<br />

* 63 Arthritis<br />

64 Arthralgia<br />

* 65 Tendonitis<br />

66 Tendon contractures<br />

and fixed deformity<br />

Y N<br />

67 Aseptic necrosis Y N<br />

<strong>JSLE</strong> - <strong>MINI</strong> <strong>BILAG</strong> (<strong>Page</strong> 2 <strong>of</strong> 4)<br />

For all questions use codes: 1 = improving; 2 = same; 3 = worse; 4 = new; 0 = not present (except for Y/N and numeric questions)<br />

Neurological continued<br />

51 Tension headache<br />

52 Cluster headache<br />

53 Headache from IC hypertension<br />

55 Mood disorder (depression/mania)<br />

56 Anxiety disorder<br />

59 Myositis with incomplete criteria<br />

Cardiovascular & Respiratory<br />

* 68 Pleuropericardial pain<br />

* 69 Dyspnoea<br />

* 70 Cardiac failure<br />

* 71 Friction rub<br />

* 72 Effusion (pericardial or pleural)<br />

73 Mild or intermittent chest pain<br />

* 74 Progressive CXR<br />

changes - lung fields<br />

* 75 Progressive CXR<br />

changes - heart size<br />

* 76 ECG evidence <strong>of</strong><br />

pericarditis/myocarditis<br />

* 77 Cardiac arrhythmias including<br />

tachycardia (>100 no fever)<br />

Y N<br />

Y N<br />

Y N<br />

Y N<br />

* 78 Pulmonary function fall by > 20% Y N<br />

* 79 Cytohistological evidence <strong>of</strong><br />

inflammatory lung disease<br />

80 Myocarditis - mild<br />

81 New valvular dysfunction<br />

82 Cardiac tamponade<br />

83 Pleural effusion with dyspnoea<br />

84 Pulmonary haemorrhage/vasculitis<br />

85 Interstitial alveolitis/pneumonitis<br />

86 Shrinking lung syndrome<br />

87 Aortitis<br />

88 Coronary vasculitis<br />

Survey : 7120 Serial : 1 <strong>Page</strong> : 2<br />

UK <strong>JSLE</strong> <strong>Study</strong> Group © - Version 2<br />

Y N

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