| 系统性红斑狼疮误诊为结核性胸膜炎1例 |
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| 引用本文： | 梅莉红,干慧慧,曾义斌,王红枫,权哲,方芳,翁孟武. 系统性红斑狼疮误诊为结核性胸膜炎1例[J]. 中国皮肤性病学杂志, 2011, 25(5) |
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| 作者姓名： | 梅莉红 干慧慧 曾义斌 王红枫 权哲 方芳 翁孟武 |
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| 作者单位： | 1. 复旦大学附属金山医院皮肤科,上海,200540
2. 复旦大学附属华山医院皮肤科,上海,200540 |
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| 摘 要： | 患者男,71岁。反复午后发热1个月,胸腔积液收入呼吸科。入院后查抗结核抗体:弱阳性;ANA(+);血常规示贫血及白细胞减少。以结核性胸膜炎予抗结核治疗3周无明显好转,短期使用糖皮质激素后病情缓解。患者继续抗结核治疗4月后皮疹加重。查ANA1:3200(+),Histone抗体(+);dsDNA-IgG194.8IU/mL,结合患者关节炎、皮疹、胸膜炎及贫血等病史,诊断:系统性红斑狼疮。予口服强的松15mg1次/d,羟氯喹100mg2次/d,症状缓解,随访半年病情稳定。
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| 关 键 词： | 系统性红斑狼疮 误诊 结核性胸膜炎 |
A Case of SLE Misdiagnosis by Tuberculosis Pleuritis |
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| MEI Li-hong,GAN Hui-hui,ZENG Yi-bin,WANG Hong-feng,QUAN Zhe,FANG Fang,WENG Meng-wu. A Case of SLE Misdiagnosis by Tuberculosis Pleuritis[J]. The Chinese Journal of Dermatovenereology, 2011, 25(5) |
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| Authors: | MEI Li-hong GAN Hui-hui ZENG Yi-bin WANG Hong-feng QUAN Zhe FANG Fang WENG Meng-wu |
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| Affiliation: | MEI Li-hong1,GAN Hui-hui1,ZENG Yi-bin1,WANG Hong-feng1,QUAN Zhe1,FANG Fang1,WENG Meng-wu2(1.Department of Dermatology,the Jinshan Hospital of Fudan University,Shanghai 200540,China,2.Department of Dermatology,the Huashan Hospital of Fudan University,China) |
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| Abstract: | A 71-year-old male patient was adimitted to the hospital because of recurrent fever in the afternoon for a month and pleural effusion.Test showed "Anti-Lipoarabinomannan Antiboby(+);ANA(+);WBC 2.3×109/L,Hb 99g/L".The patient was diagnosed tuberculosis pleuritis and given Isoniazid and Ethambutol for 3 weeks.However there was no obvious relief of symptoms.Then glucocorticoids was used,and the patient got better immediately.The patient continued to take antituberculosis medicines in the next 4 months.Immunologic examination showed:"ANA 1:3200(+),histone(+);dsDNA-IgG 194.8IU/mL".Considering all the clinical symptoms,the patient was diagnosed as Systemic Lupus Erythematosus(SLE).The patient recieved Prednisone,15mg once daily and hydroxychloroquine 100mg,twice daily.During a follow-up of 6 months,all symptoms disappeared without recurrence. |
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| Keywords: | SLE Misdiagnosis Tuberculosis pleuritis |
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