This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Auto Immune Disorders Introduction, Subject name: Pathology
[{'content': 'All of the following are included in the criteria for diagnosis of SLE, except: \nSelect and explain. \nA. Oral ulcers, B. Psychosis, C. Discoid rash, D. Leucocytosis', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Criteria (2012) for diagnosis of SLE Clinical manifestations Skin Acute, subacute cutaneous LE (photosensitive, malar, maculopapular, bullous) Chronic cutaneous LE (discoid lupus, panniculitis, lichen planus-like, hyperophic verrucous, chillblains) Oral or nasal ulcers Nonscarring Alopecia Synovitis involving >=2 joints Serositis (pleurisy, pericarditis) Renal Protein/Cr ratio >=0.5, RBC casts, Biopsy (lupus nephritis) Neurologic Seizures, psychosis, mononeuritis, myelitis, peripheral or cranial neuropathies, acute confusional state Hemolytic anemia Leukopenia (<4000/mL) or Lymphopenia (<1000/mL) Thrombocytopenia (<100,000/mL) Immunological manifestations ANA > reference negative value Anti-dsDNA antibody >reference, if by ELISA 2x reference Anti-Sm antibody Antiphospholipid (any of lupus anticoagulant, anti-cardiolipin, anti-b glycoprotein I) Low serum complement (C3, C4 or CH50) Positive direct Coombs test in absence of hemolytic anemia', 'role': 'assistant'}]