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系统性红斑狼疮(SLE)脊髓病变罕见,我院收治1例,报告如下:女性,33岁。3年前因发热,面部红斑、关节痛、蛋白尿于上海某医院诊断“系统性红斑狼疮”。住院期间突发意识不清,阵发全身抽搐,予地塞米松10mg/d静滴3日,症状消失,诊断“中枢神经性狼疮”。以后长期口服地塞米松0.75mg,隔日1次。2年半后再次发热,肢端多处出血性皮疹,激素加量及口服硫唑嘌呤50mg/d,症状无改善。入院前10日突然双下肢无力,进行性加重,2日后无法站立,尿便失禁,当地医院行磁共振成像(MRI)检查:脊髓正常。予地塞
Systemic lupus erythematosus (SLE) spinal cord disease rare, admitted to our hospital in 1 case, the report is as follows: Female, 33 years old. 3 years ago due to fever, facial erythema, joint pain, proteinuria in Shanghai, a hospital diagnosis of “systemic lupus erythematosus.” Sudden unconscious during hospitalization, paroxysmal body convulsions, to dexamethasone 10mg / d intravenous infusion of 3 days, the symptoms disappeared, the diagnosis of “central nervous lupus.” After long-term oral dexamethasone 0.75mg, every other day. Two and a half years after the fever again, multiple extremity hemorrhagic rashes, hormones and oral azathioprine 50mg / d, no improvement in symptoms. On the 10th before admission, his lower extremity suddenly became weak and aggravated. After 2 days, he could not stand up and had urinary incontinence. The local hospital underwent magnetic resonance imaging (MRI) examination: the spinal cord was normal. To the ground plug