Activity Overview
The Pediatric Virtual LupusClinic is a case-based learning activity to help non-rheumatologists recognize, refer, and manage patients with lupus in conjunction with a rheumatologist. You will virtually examine the patient, determine symptoms, decide which labs to order, build the differential diagnosis, and decide next steps for treating the patient, including appropriate referrals, if needed.
Case 1 is a 13-year-old Black female with fatigue and joint pain.
Case 2 is a 14-year-old Hispanic male with fatigue, facial swelling, and intermittent chest pain.
Registration is complimentary.
Target Audience
Primary care providers, advanced practice nurses, physician assistants.
Learning Objectives
Upon completion of this activity, participants should be able to:
Case 1
Identify when lupus should be suspected
Use appropriate baseline labs and recognize when an ANA is appropriate
Describe different skin findings and how differences in skin tones can affect the way a rash looks
Implement co-management and referral triaging for a patient
Case 2
Identify when lupus should be suspected
Identify lupus signs and symptoms and when to suspect renal disease
Examine a differential diagnosis for individuals presenting with a combination of renal and pulmonary disease
CE & MOC Information
ACCME Accreditation Statement
The AmericanCollege of Rheumatology is accredited by the Accreditation Council forContinuing Medical Education (ACCME) to provide continuing medical educationfor physicians.
See the ACR's CME Mission Statement. For more information, download the AMA PRABooklet.
AMA Designation Statement
The AmericanCollege of Rheumatology designates this Enduring Material for a maximum of 1.50 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
CME credit must be claimed by December 1, 2027, at 11:59 PM ET.
MOC Recognition Statement: AmericanBoard of Internal Medicine (ABIM)
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.75 MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
By completing this activity, you provide the ACR permission toshare completion data with the ACCME and the certifying board.
After submitting a reflective statement with key takeaways from the meeting, MOC points will be applied for ABIM diplomates to the ABIM diplomate number and date of birth provided when you registered. Points are sent nightly to ACCME and then transferred to the ABIM Physician Portal. Please allow at least 48 hours for points to display in the portal.
MOC Recognition Statement: AmericanBoard of Pediatrics (ABP)
Successful completion of thisCME activity, which includes participation in the evaluation component, enables the learner to earn up to 1.50 MOC points in the American Board of Pediatrics’(ABP) Maintenance of Certification (MOC) program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABP MOC credit.
After submitting areflective statement with key takeaways from the meeting, MOC points will beapplied for ABP diplomates to the ABP diplomate number and date of birthprovided when you registered. Points are sent nightly to ACCME and thentransferred to the ABP Physician Portals. Please allow at least 48 hours forpoints to display in the portal.
MOC points must be claimed by December 1, 2027, at 11:59 PM ET.
Financial Relationship Disclosures
ACR Disclosure Statement
It is the policy of the American College of Rheumatology (ACR) to ensure that Continuing Medical Education (CME) activities are independent and free of commercial bias. To ensure educational content is objective, balanced, and guarantee content presented is in the best interest of its learners and the public, the ACR requires that everyone in a position to control educational content disclose all financial relationships with ineligible companies within the prior 24 months. An ineligible company is one whose primary business is producing, marketing, selling, re-selling or distributing healthcare products used by or on patients. Examples can be found at accme.org.
In accordance with the ACCME Standards for Integrity and Independence inAccredited Continuing Education, ACR has implemented mechanisms prior to the planning and implementation of this CME activity to identify and mitigate all relevant financial relationships for all individuals in a position to control the content of this CME activity.
Nature of Financial Relationships
All individuals that participate in an ACR-sponsored activity and are able to change content or influence the content of the activity must disclose to the planning committee and audience all financial or other relationships with ineligible companies including, but not limited to:
Advisor or review panel member
Consultant
Employee
Officer or Board Member
Grant/research support
Speaker/honoraria includes speaker’s bureau,symposia, and expert witness
Independent contractor
Executive role and/or ownership interest
Royalties and/or patent beneficiary
Intellectual property/patents
Stock options or bond holdings in a for-profitcorporation or self-directed pension plan
Private investigator
Expert witness
Equity interest
Other: specify details
None: Has no relevant financial relationship(s) with ineligible companies to disclose.
All participants that created and/or were able to influence the content and delivery of this activity reported the following disclosures. All of the relevant financial relationships listed have been mitigated.
Planning Committee
The following planning committee members have no relevant financial relationship(s) withineligible companies to disclose.
Emily F. Beil, MD
Anita Dhanrajani, MBBS, MSc
Marla Guzman, MD
Joseph McDonald, MD, MS, RhMSUS
Michael Bradley Nelson, MD, MPH
Jessica Perfetto, MD
Heather Walters, MD
Reviewers
The following reviewers have no relevant financial relationship(s) with ineligible companiesto disclose.
Sheira Neely, APRN, CPNP
Carolyn Zic, APRN,FNP-BC
Acknowledgement of Commercial Support
This activity is supported by the Centers for Disease Control and Prevention (CDC) of the U.S.Department of Health and Human Services (HHS) as part of a financial assistance award of $7 million with 100 percent funded by CDC/HHS. The activity content was provided by the author(s)and does not necessarily represent the official views of, nor an endorsement by,the CDC/HHS or U.S. Government.
Educational Activity Policies
See ACR educational activity policies, including the online enduring activity refund policy.

Activity Overview
The Pediatric Virtual LupusClinic is a case-based learning activity to help non-rheumatologists recognize, refer, and manage patients with lupus in conjunction with a rheumatologist. You will virtually examine the patient, determine symptoms, decide which labs to order, build the differential diagnosis, and decide next steps for treating the patient, including appropriate referrals, if needed.
Case 1 is a 13-year-old Black female with fatigue and joint pain.
Pediatric Virtual Lupus Clinic Series
This activity is part of a series. See the other activities in the series below:
Registration is complimentary.
Target Audience
Primary care providers, advanced practice nurses, physician assistants.
Learning Objectives
Upon completion of this activity, participants should be able to:
Identify when lupus should be suspected
Use appropriate baseline labs and recognize when an ANA is appropriate
Describe different skin findings and how differences in skin tones can affect the way a rash looks
Implement co-management and referral triaging for a patient
CE & MOC Information
In support of improving patient care, the American College of Rheumatology is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Provider Number: 0003797
See the ACR's CE Mission Statement. For more information, download the AMA PRA Booklet.
Credit must be claimed by December 1, 2027, at 11:59 PM ET.
All participating healthcare professionals should claim only the credit commensurate with the extent of their participation in this activity.
After submitting a reflective statement with key takeaways from the meeting, MOC points will be applied for ABIM and ABP diplomates to the diplomate number and date of birth provided when you registered. Points are sent nightly to ACCME and then transferred to the Physician Portals. Please allow at least 48 hours for points to display in the portal.
AMA Designation Statement
The AmericanCollege of Rheumatology designates this Enduring Material for a maximum of 0.75 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
MOC Recognition Statement: AmericanBoard of Internal Medicine (ABIM)
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.75 MOC points in the American Board of Internal Medicine's (ABIM) Maintenance ofCertification (MOC) program. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
By completing this activity, you provide the ACR permission to share completion data with the ACCME and the certifying board.
After submitting a reflective statement with key takeaways from the meeting, MOC points will be applied for ABIM diplomates to the ABIM diplomate number and date of birth provided when you registered. Points are sent nightly to ACCME and then transferred to the ABIM Physician Portal. Please allow at least 48 hours for points to display in the portal.
MOC Recognition Statement: AmericanBoard of Pediatrics (ABP)
Successful completion of thisCME activity, which includes participation in the evaluation component, enables the learner to earn up to 0.75 MOC points in the American Board of Pediatrics’(ABP) Maintenance of Certification (MOC) program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABP MOC credit.
Financial Relationship Disclosures
ACR Disclosure Statement
It is the policy of the American College of Rheumatology (ACR) to ensure that Continuing Medical Education (CME) activities are independent and free of commercial bias. To ensure educational content is objective, balanced, and guarantee content presented is in the best interest of its learners and the public, the ACR requires that everyone in a position to control educational content disclose all financial relationships with ineligible companies within the prior 24 months. An ineligible company is one whose primary business is producing, marketing, selling, re-selling or distributing healthcare products used by or on patients. Examples can be found at accme.org.
In accordance with the ACCME Standards for Integrity and Independence inAccredited Continuing Education, ACR has implemented mechanisms prior to the planning and implementation of this CME activity to identify and mitigate all relevant financial relationships for all individuals in a position to control the content of this CME activity.
Nature of Financial Relationships
All individuals that participate in an ACR-sponsored activity and are able to change content or influence the content of the activity must disclose to the planning committee and audience all financial or other relationships with ineligible companies including, but not limited to:
Advisor or review panel member
Consultant
Employee
Officer or Board Member
Grant/research support
Speaker/honoraria includes speaker’s bureau,symposia, and expert witness
Independent contractor
Executive role and/or ownership interest
Royalties and/or patent beneficiary
Intellectual property/patents
Stock options or bond holdings in a for-profit corporation or self-directed pension plan
Private investigator
Expert witness
Equity interest
Other: specify details
None: Has no relevant financial relationship(s) with ineligible companies to disclose.
All participants that created and/or were able to influence the content and delivery of this activity reported the following disclosures. All of the relevant financial relationships listed have been mitigated.
Planning Committee
The following planning committee members have no relevant financial relationship(s) with ineligible companies to disclose.
Emily F. Beil, MD
Anita Dhanrajani, MBBS, MSc
Marla Guzman, MD
Joseph McDonald, MD, MS, RhMSUS
Michael Bradley Nelson, MD, MPH
Jessica Perfetto, MD
Heather Walters, MD
Reviewers
The following reviewers have no relevant financial relationship(s) with ineligible companies to disclose.
Sheira Neely, APRN, CPNP
Carolyn Zic, APRN,FNP-BC
Acknowledgement of Commercial Support
This activity is supported by the Centers for Disease Control and Prevention (CDC) of the U.S.Department of Health and Human Services (HHS) as part of a financial assistance award of $7 million with 100% funded by CDC/HHS. The activity content was provided by the author(s)and does not necessarily represent the official views of, nor an endorsement by,the CDC/HHS or U.S. Government.
Educational Activity Policies
See ACR educational activity policies, including the online enduring activity refund policy.

Activity Overview
The Pediatric Virtual LupusClinic is a case-based learning activity to help non-rheumatologists recognize, refer, and manage patients with lupus in conjunction with a rheumatologist. You will virtually examine the patient, determine symptoms, decide which labs to order, build the differential diagnosis, and decide next steps for treating the patient, including appropriate referrals, if needed.
Case 2 is a 14-year-old Hispanic male withfatigue, facial swelling, and intermittent chest pain.
Pediatric Virtual Lupus Clinic Series
This activity is part of a series. See the other activities in the series below:
Registration is complimentary.
Target Audience
Primary care providers, advanced practice nurses, physician assistants.
Learning Objectives
Upon completion of this activity, participants should be able to:
Identify when lupus should be suspected
Identify lupus signs and symptoms and when to suspect renal disease
Examine a differential diagnosis for individuals presenting with a combination of renala nd pulmonary disease
CE & MOC Information
In support of improving patient care, the American College of Rheumatology is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Provider Number: 0003797
See the ACR's CE Mission Statement. For more information, download the AMA PRA Booklet.
Credit must be claimed by December 1, 2027, at 11:59 PM ET.
All participating healthcare professionals should claim only the credit commensurate with the extent of their participation in this activity.
After submitting a reflective statement with key takeaways from the meeting, MOC points will be applied for ABIM and ABP diplomates to the diplomate number and date of birth provided when you registered. Points are sent nightly to ACCME and then transferred to the Physician Portals. Please allow at least 48 hours for points to display in the portal.
AMA Designation Statement
The AmericanCollege of Rheumatology designates this Enduring Material for a maximum of 0.75 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
MOC Recognition Statement: AmericanBoard of Internal Medicine (ABIM)
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.75 MOC points in the American Board of Internal Medicine's (ABIM) Maintenance ofCertification (MOC) program. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
By completing this activity, you provide the ACR permission to share completion data with the ACCME and the certifying board.
After submitting a reflective statement with key takeaways from the meeting, MOC points will be applied for ABIM diplomates to the ABIM diplomate number and date of birth provided when you registered. Points are sent nightly to ACCME and then transferred to the ABIM Physician Portal. Please allow at least 48 hours for points to display in the portal.
MOC Recognition Statement: AmericanBoard of Pediatrics (ABP)
Successful completion of thisCME activity, which includes participation in the evaluation component, enables the learner to earn up to 0.75 MOC points in the American Board of Pediatrics’(ABP) Maintenance of Certification (MOC) program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABP MOC credit.
Financial Relationship Disclosures
ACR Disclosure Statement
It is the policy of the American College of Rheumatology (ACR) to ensure that Continuing Medical Education (CME) activities are independent and free of commercial bias. To ensure educational content is objective, balanced, and guarantee content presented is in the best interest of its learners and the public, the ACR requires that everyone in a position to control educational content disclose all financial relationships with ineligible companies within the prior 24 months. An ineligible company is one whose primary business is producing, marketing, selling, re-selling or distributing healthcare products used by or on patients. Examples can be found at accme.org.
In accordance with the ACCME Standards for Integrity and Independence inAccredited Continuing Education, ACR has implemented mechanisms prior to the planning and implementation of this CME activity to identify and mitigate all relevant financial relationships for all individuals in a position to control the content of this CME activity.
Nature of Financial Relationships
All individuals that participate in an ACR-sponsored activity and are able to change content or influence the content of the activity must disclose to the planning committee and audience all financial or other relationships with ineligible companies including, but not limited to:
Advisor or review panel member
Consultant
Employee
Officer or Board Member
Grant/research support
Speaker/honoraria includes speaker’s bureau,symposia, and expert witness
Independent contractor
Executive role and/or ownership interest
Royalties and/or patent beneficiary
Intellectual property/patents
Stock options or bond holdings in a for-profit corporation or self-directed pension plan
Private investigator
Expert witness
Equity interest
Other: specify details
None: Has no relevant financial relationship(s) with ineligible companies to disclose.
All participants that created and/or were able to influence the content and delivery of this activity reported the following disclosures. All of the relevant financial relationships listed have been mitigated.
Planning Committee
The following planning committee members have no relevant financial relationship(s) with ineligible companies to disclose.
Emily F. Beil, MD
Anita Dhanrajani, MBBS, MSc
Marla Guzman, MD
Joseph McDonald, MD, MS, RhMSUS
Michael Bradley Nelson, MD, MPH
Jessica Perfetto, MD
Heather Walters, MD
Reviewers
The following reviewers have no relevant financial relationship(s) with ineligible companies to disclose.
Sheira Neely, APRN, CPNP
Carolyn Zic, APRN,FNP-BC
Acknowledgement of Commercial Support
This activity is supported by the Centers for Disease Control and Prevention (CDC) of the U.S.Department of Health and Human Services (HHS) as part of a financial assistance award of $7 million with 100% funded by CDC/HHS. The activity content was provided by the author(s)and does not necessarily represent the official views of, nor an endorsement by,the CDC/HHS or U.S. Government.
Educational Activity Policies
See ACR educational activity policies, including the online enduring activity refund policy.
