In recent years, pediatricians and various subspecialists have finally weighed in on whether these conditions are mere constructs and epiphenomena of other conditions or if they are real. In particular, there was a vigorous debate in the lead-up to DSM 5 as to whether Sensory Processing Disorder should be included as a diagnosable medical condition. The decision was NO, but there were many left unhappy (especially within the OT community) (4). Things may change with DSM 6. As for auditory processing, there is no consensus in how to test for this amongst audiologists. It is not accepted as a distinct disorder by speech therapists and psychologists, . as distinguishable from such conditions as language disorders or ADHD (5, 6, 7, 8). For visual processing disorders, Pediatric Ophthalmologists are firmly opposed to the construct (10), while Developmental Optometrists are very actively advertising and promoting these treatments (9).
In 2012, the Systemic Lupus International Collaborating Clinics (SLICC) group revised and validated the ACR SLE classification criteria. The SLICC classification criteria expand the number of criteria from 11 to 17, adding numerous acute and chronic rashes, as well as alopecia, additional neurologic manifestations, hypocomplementemia, and direct Coomb test positivity. The SLICC classify a person as having SLE in the presence of biopsy-proven lupus nephritis with ANA or anti–double-stranded DNA (anti-dsDNA) antibodies or if 4 of their 17 diagnostic criteria, including at least 1 clinical and 1 immunologic criterion. [ 7 ]