Conundrum of #Clinically #Quiescent #Serologically #Active #SLE-half flare within 5 yrs; can have organ damage. Large cohort-China 20% met def’n- diff trajectories 37% flare 1/6 got damage in f/u Some tapered Rx How to identify safe to d/c Rx? 2555 #ACR23 @ACRheum @RheumNow https://t.co/f49BQspQsz