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目的:探讨不典型系统性红斑狼疮(SLE)的诊断、误诊原因。方法:复习收治在我院并确诊,初治被误诊的SLE 31例临床资料。结果:分别被误诊为慢性肾炎、结核性胸膜炎、风湿性关节炎、血小板减小性紫癜、再生性障碍性贫血、慢性结肠炎、病毒性肝炎、结核性心包炎、心肌炎、肺炎、类风湿性关节炎、癫痫、精神病13种疾病。结论:不典型SLE缺乏特异性,易发生误诊。详细询问病史、系统体检,及时选做相关检查(血、体液、骨髓找狼疮细胞、自身免疫抗体),以便早期诊断。
Objective: To investigate the diagnosis and misdiagnosis of atypical systemic lupus erythematosus (SLE). Methods: The clinical data of 31 patients with SLE who were diagnosed as having been diagnosed as newly diagnosed and who were misdiagnosed in our hospital were reviewed. Results: The patients were misdiagnosed as chronic nephritis, tuberculous pleurisy, rheumatoid arthritis, thrombocytopenic purpura, aplastic anemia, chronic colitis, viral hepatitis, tuberculous pericarditis, myocarditis, pneumonia, rheumatoid Arthritis, epilepsy, mental illness 13 kinds of diseases. Conclusion: The atypical SLE lacks specificity and is prone to misdiagnosis. Asked in detail the history, the system of physical examination, timely selection of the relevant check (blood, body fluids, bone marrow find lupus cells, autoimmune antibodies) for early diagnosis.