Listing code
114.02
Children (Part B)
Body system
114.00
Immune system disorders (children)
Subsections
2
Lettered criteria paths
Step in evaluation
3 of 5
Listing match approves the claim
SSA listing text and criteria
Systemic lupus erythematosus , as described in 114.00D1 . With involvement of two or more organs/body systems, and with:
Subsection A
One of the organs/body systems involved to at least a moderate level of severity; AND
Subsection B
At least two of the constitutional symptoms and signs (severe fatigue, fever, malaise, or involuntary weight loss). Back to Top
Source: SSA Blue Book listing 114.02. Last synced 2026-05-04.
Where claims under 114.02 usually fail
One failure mode is meeting only one organ or body system rather than involvement of two or more. Another is having multi-organ involvement but not showing that one of the involved organs or body systems reaches at least a moderate level of severity. A third pitfall is focusing on disease activity without showing at least two constitutional symptoms and signs from the exact set (severe fatigue, fever, malaise, involuntary weight loss). A fourth pitfall is assuming that constitutional symptoms count even if they do not match the listing categories, such as symptoms described more generally without the qualifying constitutional symptoms and signs.
Medical evidence that strengthens this claim
Medical records should clearly tie childhood SLE to involvement of two or more organs or body systems, and identify at least one involved organ or body system that is at least moderately severe. Documentation should also include evidence of constitutional symptoms and signs, specifically severe fatigue, fever, malaise, and/or involuntary weight loss, with at least two of those recorded. Records that show only immune-system dysfunction or inflammation generally, without connecting it to SLE multi-organ involvement plus the specific constitutional symptoms and signs, are less likely to match this listing structure.
What happens if your records do not meet this listing
If the A and B requirements are not both satisfied, the claim usually still can be evaluated under the next steps of the disability process. First, residual functional capacity is assessed based on how the condition and its treatment limit day-to-day functioning. Then, a decision is made using the available medical and vocational factors, rather than focusing only on whether every lettered criterion was met in the listing.
Work activity and the SGA gate for this condition
At the start of an SSDI claim, any work activity is evaluated under the substantial gainful activity (SGA) rules. The listing's requirements here involve multi-organ involvement plus constitutional symptoms such as severe fatigue and fever, which can make sustained work difficult for many people, but SGA is still judged based on actual work activity rather than listing criteria alone. If approved, benefits can continue under the usual post-approval rules, including the trial work period and then the extended period of eligibility.
Listing 114.02 FAQ
Questions that come up repeatedly for systemic lupus erythematosus , disability claims.