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系统性红斑狼疮(SLE)临床表现较为复杂,早期除发热外,肾脏、血液系统以及皮肤损害亦颇为常见,易与流行性出血热相混淆.笔者曾遇到二例误诊为流行性出血热,现报告如下:病例摘要患者男,23岁,发热、皮肤出血性皮疹,双膝关节痛,尿少三天入院。实验室检查:尿蛋白(++),颗粒管型少许,红细胞少许。白细胞5400,中性65%,淋巴35%,血小板9.2万。诊断;流行性出血热。用环磷酰胺、氢化可的松.酚妥拉明、静脉补液等治疗半月后病情好转出院.三个月后上述症状又复出现,在市传染病医院做免疫荧光抗体,诊断:“慢
Clinical manifestations of systemic lupus erythematosus (SLE) is more complex, early in addition to fever, the kidneys, blood system and skin damage is quite common, easily confused with epidemic hemorrhagic fever .I have encountered two cases misdiagnosed as epidemic hemorrhagic fever , Are reported as follows: Case Summary Male patient, 23 years old, fever, skin hemorrhagic rash, double knee pain, urine less three days admitted. Laboratory tests: Urinary protein (++), a little granular tube, a little red blood cells. White blood cells 5400, 65% neutral, lymphatic 35%, 92,000 platelets. Diagnosis; epidemic hemorrhagic fever. With cyclophosphamide, hydrocortisone. Phentolamine, intravenous rehydration and other conditions after half a month to get out of hospital .After three months the above symptoms reappeared in the city of infectious disease hospital immunofluorescent antibody diagnosis: "slow