Psychiatric symptoms: severe disorders interfering with normal activities. Exceptional organic encephalopathy: alterations in intelligence with impairment of memory or other intellectual functions and recurrent variable clinical symptoms. At least two of the following are present simultaneously: sensory disturbances, incoherent loose speech, visual disturbances: SLE hypertension, infection, drug-induced emerging sensations of the cranial cranial nerves, lupus headache: severe persistent headache, narcotic cerebrovascular accident: emerging atherosclerosis gangrene, finger infarction with tenderness, hemorrhage or by biopsy, arthritis: more than 2 pressure pain, swelling, exudation) elevated creatine phosphokinase , or tubular urine: granular tubular or hematuria: proteinuria: >0.5g/24h, new or recently elevated Leukocytes >5/HP, except infection Alopecia: new or recurrent abnormal patchy or diffuse alopecia New rash Mucosal ulcers: new or recurrent oral or nasal mucosal ulcers Pleuritic pleural fricative sounds, exudates, or complementemia C3, C4, or CH50 decreased Anti dsDNA antibody positive Slightly elevated Body temperature greater than or equal to 38°C, excluding infectious causes Slightly elevated, excluding pharmacologic causes 0-4 points Basic inactivity 10-14 points Moderate activity