以消化系统为首发症状的系统性红斑狼疮2例报告

• 作 者: 武加标 任敏 赵东宝
• 机 构: 江苏大学附属武进医院风湿血液科,第二军医大学附属长海医院风湿免疫科,
• 出 处: 中华全科医学
• 发表日期: 2012年12期
• 关键词: 系统性红斑狼疮 消化系统 肠血管炎 erythematosus 血管炎 自身免疫性疾病 自身免疫病 临床医师 皮肤黏膜 消化科

系统性红斑狼疮(systemic lupus erythematosus,SLE)是一种弥漫性、全身性自身免疫病,主要累及皮肤黏膜、骨骼肌肉、肾脏等多个脏器和系统,表现出多种临床症状,虽然SLE可直接或间接累及消化道,但以胃肠血管炎为首发症状者常不被临床医师重视,容易漏诊和误诊。本文报道2例消化科就诊而最终诊断为SLE的患者,以期提高对该病诊疗的认识。

Systemic lupus erythematosus (SLE) is a diffuse, systemic autoimmune disease that involves multiple organs and systems such as mucocutaneous, skeletal muscle, and kidneys, and shows a variety of clinical symptoms, although SLE Direct or indirect involvement of the digestive tract, but gastrointestinal vasculitis as the first symptom is often not the clinician attention, easy to misdiagnosis and misdiagnosis. This article reports two cases of digestive disease clinic and eventually diagnosed as SLE patients, with a view to raising awareness of the diagnosis and treatment of the disease.