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全身性红斑狼疮为非感染性,非肿瘤性的持续性的全身疾患,多发于青年女性。临床特点为多脏器损害、复杂多样、缓解与恶化交替发生的疾患。初发症状可不典型、部分患者可在全病程中无皮肤表现,红斑狼疮细胞亦仅76％阳性,每易误诊。本文分析了1019例,供临床参考,以提高本病的早期确诊率。一、早期临床表现:本病早期症状可变化多端,内脏病症的出现可能较皮肤表现为早,有些病例可始终无皮肤病损出现,故常易误诊。本院20例中入院时有9例误诊,为风湿病三例、结核性胸膜炎二例,结核性腹膜炎一例、肾炎二例、肾病综合征一例。
Systemic lupus erythematosus is a non-infectious, non-neoplastic persistent systemic disorder that occurs in young women. Clinical features of multiple organ damage, complex and diverse, mitigation and deterioration of alternating diseases. Initial symptoms may be typical, some patients may have no skin manifestations throughout the course of the disease, lupus erythematosus cells were only 76% positive, each misdiagnosis. This article analyzes 1019 cases for clinical reference to improve the early diagnosis of the disease. First, the early clinical manifestations: Early symptoms of this disease can be varied, the emergence of visceral disease may appear earlier than the skin, and some cases may always have no skin lesions appear, so often misdiagnosed. There were 9 cases of misdiagnosis at hospital admission in 20 cases, three cases of rheumatism, two cases of tuberculous pleurisy, one case of tuberculous peritonitis, two cases of nephritis and one case of nephrotic syndrome.