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目的:分析系统性红斑狼疮(SLE)早期误诊原因,提高对此病的认识。方法:对16例SLE患者误诊进行回顾分析。结果:在16例中,曾被误诊的疾病有类风湿性关节炎、肾病综合征、上呼吸道感染、再生障碍性贫血、结核性腹膜炎、肠炎、心包积液等。有12例曾在县乡级医院或市医院非风湿免疫科误诊,占75%。结论:SLE病情复杂,误诊率高,预后差。临床医生应提高对该病的认识,以期早诊断、早治疗。
Objective: To analyze the causes of early misdiagnosis of systemic lupus erythematosus (SLE) and to raise awareness of the disease. Methods: A retrospective analysis of 16 cases of SLE patients misdiagnosis. Results: In 16 cases, the diseases that were misdiagnosed were rheumatoid arthritis, nephrotic syndrome, upper respiratory tract infection, aplastic anemia, tuberculous peritonitis, enteritis and pericardial effusion. Twelve cases were misdiagnosed as non-rheumatic immunology at county and township hospitals or municipal hospitals, accounting for 75%. Conclusion: The SLE is complicated with high misdiagnosis rate and poor prognosis. Clinicians should raise awareness of the disease, with a view to early diagnosis and early treatment.