Lupus & antiphospholipid syndrome

2025 American College of Rheumatology ( ACR ) Guideline for the Treatment of Systemic Lupus Erythematosus

Arthritis RheumatolPublished Clinical practice guideline

Methodological detailsGRADE methodology, systematic literature reviews, PICO format, Voting Panel consensus ≥70% agreement
  • GRADE methodology
  • Systematic literature reviews
  • PICO format
  • Voting Panel consensus ≥70% agreement

Recommendations

As issued by the authors

  1. Uniform treatment with HCQ

  2. Limit duration of GC use

  3. Early introduction of conventional and/or biologic immunosuppressive therapies to achieve and maintain control of systemic lupus erythematosus (SLE) inflammation (remission or low disease activity), reduce SLE-related morbidity and mortality, and minimize medication-related toxicities

Original publication

2025 American College of Rheumatology ( ACR ) Guideline for the Treatment of Systemic Lupus Erythematosus. Arthritis Rheumatol. Published 4 November 2025. doi:10.1002/art.43452

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