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患者,男,17岁,学生,反复尿检异常4年,加重5个月入院。患者于4年前无明显诱因于两颊部出现蝶形红斑,日光照射后明显,后因发热、关节疼痛在某医院就诊。血中找到红斑狼疮细胞,抗ds-DNA阳性。诊断为1、系统性红斑狼疮、2、狼疮性肾炎,给予强的松4mg/日,和环磷酰胺0.8g冲击,复查尿蛋白阴性,带药出院继续按医嘱规律激素治疗,每两月复查一次并环磷酰胺0.8g静滴1次,当强的松减至15mg/日时无诱因出现尿蛋白反跳。尿
Patient, male, 17 years old, student, recurrent urine abnormalities 4 years, increased 5 months admitted to hospital. Patient 4 years ago, there was no obvious incentive to appear butterfly erythema on both cheeks, obvious after sunlight, after due to fever, joint pain in a hospital. Lupus erythematosus cells found in the blood, anti-ds-DNA positive. Diagnosed as 1, systemic lupus erythematosus, 2, lupus nephritis, given prednisone 4mg / day, and cyclophosphamide 0.8g impact, urine protein negative review, with medication continue to follow the doctor’s advice hormone therapy, review every two months Once and cyclophosphamide 0.8g intravenous 1, when prednisone reduced to 15mg / day no incentive urinary protein rebound. Pee