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120例系统性红斑狼疮,贫血占76.7％,白细胞减少33.3％,血小板减少49％。肾炎型和混合型的病例,其贫血的发生率要高于皮肤型者(P<0.001)。10/58例贫血患者(17.2％)Coombs试验阳性,但伴溶血性贫血者仅2例。19/40贫血病例(47.5％)血清铁和总铁结合力均降低,血清铁降低而TIBC增高者仅3例。24/30(80％)贫血患者血清铁蛋白高于25ng/ml,而血液锌原卟啉高于80μg/dl仅4/29例贫血患者。本文还报告2例SLE伴有典型再生障碍性贫血。
120 cases of systemic lupus erythematosus, anemia accounted for 76.7%, leukopenia 33.3%, thrombocytopenia 49%. Nephritis and mixed cases, the incidence of anemia is higher than the skin type (P <0.001). Coombs test was positive in 10/58 anemia patients (17.2%), but only 2 patients had hemolytic anemia. Serum iron and total iron binding decreased in 19/40 anemia patients (47.5%), with only three cases of elevated serum iron and elevated TIBC. Serum ferritin was higher than 25 ng / ml in 24/30 (80%) anemic patients and 4/29 anemic patients with blood zinc protoporphyrins higher than 80 μg / dl. This article also reports 2 cases of SLE with typical aplastic anemia.