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临床资料患者,女,26岁。因“进行性活动后心累、气促”入院。患者2+年前因眩晕诊断为自身免疫性溶血性贫血,经口服泼尼松治疗症状缓解后自行停药,后因症状复发且合并血小板减少被诊断为伊文综合征。6个月前患者因颜面部和手背出现红斑在我院诊断为系统性红斑狼疮(SLE)合并伊文综合征,并开始口服大剂量激素治疗。3个月前患者出现感冒发热症状,经过10+d抗感染治疗症状无明显好转,并出现心累、气促,遂转入我院。查体:胸骨左下缘闻及Ⅲ/Ⅵ
Clinical data, female, 26 years old. Because of “after heart activity, shortness of breath” admission. Patients were diagnosed with autoimmune hemolytic anemia 2 years ago due to dizziness, self-discontinuation of their symptoms after oral prednisone treatment, and subsequent diagnosis of Evans Syndrome due to recurrence of symptoms and thrombocytopenia. Six months ago, patients with erythema on the face and back of their hands were diagnosed with systemic lupus erythematosus (SLE) with Evan’s syndrome in our hospital and oral high-dose hormonal therapy was started. 3 months before the onset of symptoms of cold and fever, after 10 + d anti-infective treatment no significant improvement in symptoms and heart tired, shortness of breath, then transferred to our hospital. Physical examination: Sternal lower left edge smell and Ⅲ / Ⅵ