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ACR criteria-1997 SLICC criteria2012 Criterion Definition Criterion Definition Malar rash Fixed erythema, flat or Acute cutaneous raised, over the lupus malar eminences, tending to spare the nasolabial folds Discoid rash Erythematous raised Chronic cutaneous Classic discoid rash patches with lupus localized (above adherent keratotic the neck); scaling and follicular generalized plugging; atrophic (above and below scaring may occur in the neck); older lesions hypertrophic (verrucous) lupus; lupus panniculitis (profundus); Lupus malar rash (do not count if malar discoid); bullous lupus; toxic epidermal necrolysis variant of SLE; maculopapular lupus rash; photosensitive lupus rash (in the absence of dermatomyositis); or subacute cutaneous lupus (nonindurated psoriasiform and/or annular polycyclic lesions that resolve without scarring, although occasionally with postinflammatory dyspigmentation or telangiectasias)