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系统性红斑狼疮(SLE)据文献报告其误诊率高达51. 2%.本例误诊为末梢神经炎达四年之久,现报道如下.孙某,女,46岁.因四肢末梢麻木,感觉障碍和左肩关节疼痛反复发作四年,按末稍神经炎诊治无效且加重半月入院.常服激素可缓解症状,停药后症状复发.神经科检查:双手大鱼际肌萎缩,四肢关节无红肿及畸形,肌力Ⅴ级,肌张力正常.生理反
According to the literature, the rate of misdiagnosis of systemic lupus erythematosus (SLE) was 51.2% .In this case, misdiagnosed as peripheral neuritis for four years, are reported as follows.Sun Mou, female, 46 years old.Due to limbs numbness, sensory disturbance And left shoulder pain recurrent four years, according to the end of neuritis diagnosis and treatment ineffective and aggravate half a month hospital .Overall hormone can relieve symptoms, withdrawal symptoms recurrence .Neurology examination: both hands big atlas muscle atrophy, joint limbs without swelling and deformity Muscle Ⅴ grade, normal muscle tone. Physiological anti