Selected Immune Disorders and Disability

The U.S. Social Security Administration (SSA) administers the Social  Security Disability Insurance program and the Supplemental Security  Income program. As part of their process, immune system disorders are  evaluated under Listing of Impairments 14.00 for adults and 114.00 for  children. At the request of the SSA, the National Academies of Sciences,  Engineering, and Medicine assembled a committee to review selected  conditions related to the immune system. In particular, the SSA was  interested in the current status of the diagnosis, treatment, and  prognosis of immune system disorders including systemic lupus  erythematosus (SLE), scleroderma, polymyositis, Sjögren's  syndrome/disease, and inflammatory arthritis.

This report  provides an overview of the current status of the diagnosis, treatment,  and prognosis of these immune system disorders in the U.S. population  and the relative levels of functional limitation typically associated  with them, common treatments, and other considerations.