Patients with active disease |
Every 3 to 6 months |
ROS including fever, fatigue, weight loss, visual disturbance, dyspnea, cough, palpitations, abdominal pain, numbness, tingling, lightheadedness, syncope |
PE including skin examination, palpation of lymph nodes, lung examination |
Laboratory tests based on sites of disease activity and medications |
Spirometry and diffusing capacity, for patients with known lung impairment |
Every 12 months |
CBC and differential |
Creatinine |
Calcium |
AST, ALT, Alkaline phosphatase |
25 hydroxy vitamin D and 1,25 dihydroxy vitamin D, for patients with a history of calcium derangements or bone density abnormalities |
Chest radiograph |
As indicated by symptoms or other tests |
HRCT |
ECG |
Echocardiogram |
Holter monitoring |
Cardiac MRI |
Ophthalmologic examination, for patients on hydroxychloroquine or with visual symptoms |
Urinalysis |
TSH |
Bone density (when glucocorticoid therapy initiated and then every 3 years) |
MRI with gadolinium, for those with neurologic symptoms |
Patients with inactive disease for 2 or more years |
Every 12 to 18 months |
ROS including fever, fatigue, weight loss, visual disturbance, rash, dyspnea, cough, palpitations, abdominal pain, numbness, tingling, lightheadedness, syncope |
PE including skin examination, palpation of lymph nodes, lung examination |
Spirometry, diffusing capacity |
CBC and differential |
Creatinine |
Calcium |
Liver enzymes |