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系统性红斑狼疮(SLE)是一种原因不明的累及全身结缔组织,表现为多脏器损害的自身免疫性疾病。其临床表现错综复杂,易被误诊,现将我们误诊的17例作一分析。17例中年龄15～65岁,误诊疾病有肾炎3例、胸膜炎2例、肾盂肾炎1例、类风湿性关节炎及雷诺氏病2例、贫血2例、风湿热风湿性关节炎3例、肝炎1例、白细胞减少症1例、脑脊髓膜炎1例、肺炎1例。现就较多的几种误诊加以讨论。一、肾脏损害误诊为急、慢性肾炎。例1:任某,女,20岁。因少尿10天,心悸不适5天,诊断为急性肾炎。检查:两眼脸轻度浮肿,心界向左扩大,心尖区闻及Ⅱ°Sm,BP22/14kpa,Hb64g/L,
Systemic lupus erythematosus (SLE) is an unknown autoimmune disease involving the connective tissue of the entire body, manifested as multiple organ damage. The clinical manifestations of complex, easily misdiagnosed, now we misdiagnosed 17 cases for an analysis. 17 cases of age 15 to 65 years old, misdiagnosed disease nephritis in 3 cases, pleurisy in 2 cases, pyelonephritis in 1 case, rheumatoid arthritis and Raynaud’s disease in 2 cases, anemia in 2 cases, rheumatic fever and rheumatoid arthritis in 3 cases, 1 case of hepatitis, 1 case of leukopenia, 1 case of meningitis and 1 case of pneumonia. Now more misdiagnosis to be discussed. First, the misdiagnosis of kidney damage as acute and chronic nephritis. Example 1: Renmou, female, 20 years old. Due to oliguria 10 days, palpitations discomfort for 5 days, diagnosed as acute nephritis. Check: two eyes with mild edema, heart left to expand, apex area smell and Ⅱ ° Sm, BP22 / 14kpa, Hb64g / L,