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患者,女,16岁,病历号:129379。面部红斑、关节痛1年于1994年8月30日入院,患者于住院前一年无明显诱因出现面部蝶形红斑、双腕关节、双手近指关节、双踝关节肿痛、伴有晨僵、脱发、口腔粘膜溃疡,于当地医院检查血沉增快,LE细胞(+),诊断“系统性红斑狼疮”,予以强的松,15mg,1日3次,口服,病情趋于好转,但在入院前2个月逐渐出现腰骶部及双髋关节痛,活动明显受限,晨僵加重,间断性发热,故来我院求诊。 经查:T37.8℃,颜面蝶形红斑,口腔粘膜可见
Patient, female, 16 years old, medical record number: 129379. Facial erythema, arthralgia 1 year admitted on August 30, 1994, the patient had no obvious predisposition for a year before hospitalization facial butterfly erythema, double wrist, hands near the knuckles, double ankle joint swelling and pain, accompanied by morning stiffness , Hair loss, oral mucosal ulcer, check the local hospital erythrocyte sedimentation rate increased, LE cells (+), the diagnosis of “systemic lupus erythematosus”, to be prednisone, 15mg, 1 3 times, oral, the condition tends to improve, Two months before admission, lumbosacral and double hip joint pain gradually appeared, and the activities were obviously limited. Morning stiffness increased and intermittent fever was reported. Therefore, we came to our hospital for consultation. The investigation: T37.8 ℃, facial butterfly erythema, visible oral mucosa