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患者,女,15岁,于1992年9月因双手遇冷后发白发紫,尿常规蛋白(卅)而入上海某医院住院检查,当时无水肿,无关节痛,无面部红斑,尿常规蛋白(卅～卌),24小时尿蛋白定量6g,血白蛋白30g/L,血胆固醇6.5mmol/L,血甘油三酯3.42mmol/L,血沉120mm/lh,ANA阳性,血中找到狼疮细胞,拟诊系统性红斑狼疮、狼疮性肾炎,给予强的松60mg/d,70天后渐减量为30mg/d,服药1年期间,病情稳定,尿蛋白转阴,肾功能正常,强的松渐减量至5mg/d维持。半年后即1994年6月始有不规则发热,面部出现散在红斑,尿常规仍正常,拟狼疮活
Patients, female, 15 years old, in September 1992 due to both hands after the hair white purple, urine protein (卅) and into a hospital in Shanghai, was no edema, no joint pain, no facial erythema, urinary routine Protein (卅 ~ 卌), 24 hours urinary protein quantitative 6g, serum albumin 30g / L, blood cholesterol 6.5mmol / L, triglyceride 3.42mmol / L, erythrocyte sedimentation rate 120mm / lh, ANA positive blood lupus cells , To be diagnosed systemic lupus erythematosus, lupus nephritis given prednisone 60mg / d, 70 days after the gradual reduction of 30mg / d, taking a year period, the disease was stable, urine protein negative, normal renal function, prednisone Gradual reduction to 5mg / d maintained. Six months later, in June 1994, irregular fever started, scattered erythema appeared on the face, and urine routine was still normal.