小儿系统性红斑狼疮9例诊治体会

• 作 者: 杨蜀琴 陈浩丽
• 机 构: 广东省佛山市第二医院儿科,广东省佛山市第二医院儿科 528000,528000
• 出 处: 临床儿科杂志
• 发表日期: 1996年03期
• 关键词: 系统性红斑狼疮 四肢末端 不规则发热 盘状 青斑 肾病综合征 皮肤血管炎 狼疮活动 初发症状 多形性红斑

约20％的系统性红斑狼疮患者在儿童期发病,现将我科于1985～1993年收治的9例分析如下。 临床资料,女8例,男1例;年龄:4～6岁2例,10～12岁7例。初诊确诊3例,误诊6例。发病到内脏受损时间均在6个月以内,肾为最早损害的内脏。9例均有1个月以上的不规则发热,全部有明显的皮损且表现多样化,面部盘状狼疮伴四肢或胸部青斑皮疹2例,四肢末端溃疡脱皮1例,双下肢紫癜样皮

About 20% of systemic lupus erythematosus patients in childhood onset, now my department in 1985 to 1993, 9 cases were analyzed as follows. Clinical data, 8 females, 1 male; age: 2 cases of 4 to 6 years old, 10 to 12 years old in 7 cases. Newly diagnosed in 3 cases, misdiagnosed in 6 cases. The incidence of visceral damage time are less than 6 months, kidney damage as the earliest internal organs. All 9 cases had irregular fever more than 1 month, all had obvious lesions and showed diversified manifestations. Facial discoid lupus was accompanied by two cases of bruising of extremities or chest, one case of extremity extremity ulcer and one case of both lower extremity purpura