论文部分内容阅读
蛋白丢失性肠病可发生于多种疾病,但系统性红斑狼疮(SLE)伴有蛋白丢失性肠病者迄今为止文献仅报道3例。本文报道1例。女性,29岁,因腹泻、浮肿入院。两年前曾有蛋白尿,入院前19个月有短暂的发热、右胸痛、咳嗽。3个月前在第2次妊娠时又有蛋白尿、面部浮肿和腹泻,分娩后仍有蛋白尿和面部浮肿,并发现右胸腔积液、眼球突出、弥漫性甲状腺肿、管型尿。体检:面部和胫骨前水肿。眼球突出、甲状腺肿大。心脏正常。右肺底呼吸音减弱,有少量腹水。实验室检查:尿常规正常。白细胞3,300,分类淋巴细胞45％。末
Protein-losing enteropathy can occur in a variety of diseases, but systemic lupus erythematosus (SLE) associated with protein-losing enteropathy in the literature so far reported only 3 cases. This article reports a case. Female, 29 years old, due to diarrhea, edema admitted to hospital. Two years ago had proteinuria, 19 months before admission, a brief fever, right chest pain, cough. Proteinuria, facial edema and diarrhea occurred again in the second trimester 3 months ago. Proteinuria and facial edema persisted after delivery and found right pleural effusions, prominent eyes, diffuse goiter, and tubular urine. Physical examination: facial and tibial anterior edema. Prominent eye, goiter. The heart is normal. Right lung bottom breath sounds weakened, a small amount of ascites. Laboratory tests: normal urine. WBC 3,300, classified lymphocytes 45%. end