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患者女,41岁,因发热,畏寒,散在环形红斑2天伴四肢关节酸痛入院。患者原有SLE(系统性红斑狼疮)史15年,持续服用强的松5mg,每天1次维持,1999年6月首发确诊为Ⅱ型糖尿病,口服降糖药治疗无显著疗效,1999年9月采用诺和灵30R人胰岛素治疗,早10U,晚9U,血糖控制满意。查体:一般情况尚可,咽部轻度充血,扁桃体不大,全身皮肤可见散在环形红斑,稍隆起,边界清楚,有轻度压痛,无瘙痒,肝脾肋下未触及,双下肢无浮肿。辅检:尿蛋白(+--+)0.1~0.5g/L,尿糖3+,
Female patient, 41 years old, due to fever, chills, scattered ring erythema 2 days with limb pain in hospital. Patients with SLE (systemic lupus erythematosus) history of 15 years, continuous use of prednisone 5mg, 1 day to maintain the starting in June 1999 was diagnosed with type II diabetes, oral hypoglycemic agents no significant effect of treatment, September 1999 Novo Ling 30R human insulin treatment, as early as 10U, late 9U, blood glucose control satisfaction. Physical examination: the general situation is acceptable, mild pharyngeal congestion, little tonsils, systemic skin scattered in the annular erythema, slightly elevated, the boundary is clear, mild tenderness, no itching, liver and spleen ribs were not touched, no lower extremity edema . Auxiliary tests: urine protein (+ - +) 0.1 ~ 0.5g / L, urine 3 +,