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患者 ,女性 ,2 4岁 ,1年前反复低热 ,面部蝶形红斑 ,日光照射后加剧 ,关节酸痛 ,口腔破溃 ,脱发。检查示“抗 ds-DNA抗体、抗 Sm抗体阳性 ,找到 LE细胞”。诊断为系统性红斑狼疮 ,予以肾上腺皮质激素等治疗后好转。 1个月前因自行停药后病情加重而入院。查体 :神志清楚 ,双颊及
Patient, female, 24 years old, 1 year ago, repeated low fever, facial butterfly erythema, aggravated by sunlight, joint soreness, oral ulceration, hair loss. Check to show “anti-ds-DNA antibody, anti-Sm antibody positive, find LE cells.” Diagnosis of systemic lupus erythematosus, to improve after treatment of adrenal cortex hormones. 1 month ago due to self-stop illness and hospitalization. Physical examination: conscious, cheeks and