“…This is consistent with past investigations of serologically active clinically quiescent patients, revealing no difference in nephrologic involvement compared to a large group of SLE controls (n = 868) 18 , and commensurate with widely cited renal SLE prevalence 25 . While these findings may be suggestive of differing organ involvement in those patients with SLE achieving prolonged remission, they should be borne out in a larger sample of remitted patients, ideally over multiple centers, internationally, especially given the notoriously variable prevalence reported in these organ systems 25,26,27 . We observed a lower prevalence of central nervous system manifestations in cases than controls at the start of the remission period.…”