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众所公认,面部蝶形红斑是全身性红斑性狼疮在诊断上的主要症状之一。但是,本病的许多其他皮肤表现,对于诊断、预后及治疗的意义,尚多未明。皮肤是全身血管、结缔组织反应器官之一。全身性红斑性狼疮的皮肤症状,大体上可以归纳为两类。一类是多发性浆液性炎症表现,如面部红斑、全身各处的红斑和脱发。另一类是血管炎性表现,如皮肤血管炎、紫癜、网状红斑、肢端动脉痉挛现象等。现将本病的各种皮肤症状对于诊断、治疗及预后的意义分述如下。
It is generally accepted that facial butterfly erythema is one of the major diagnostic symptoms of systemic lupus erythematosus. However, many other skin manifestations of this disease are not yet known for their diagnostic, prognostic and therapeutic implications. Skin is the body’s blood vessels, connective tissue organs. Skin symptoms of systemic lupus erythematosus, in general, can be grouped into two categories. One is multiple serous inflammatory manifestations, such as facial erythema, erythema and hair loss throughout the body. The other is the vasculitic manifestations, such as cutaneous vasculitis, purpura, reticular erythema, arterial spasm phenomenon. Now the various skin symptoms of the disease diagnosis, treatment and prognosis of the significance of the following.