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患者,男性,45岁。因面部皮疹四肢酸痛、乏力、不规则发热5年,加重伴咳嗽2周于2000年1月21日人院。患者于1996年间断不规则发热、面颊部红斑,关节疼痛、双手青紫、脱发,曾就诊皮肤科确诊为系统性红斑狼疮(SLE),院外长期口服强的松治疗。2周前无明显诱因出现咳嗽、发热,体温38-39℃,抗生素治疗无好转来院。入院查体:体温38.8℃,脉搏86次/min,呼吸22次/min,BP 15/8 kPa,神志清,库欣
Patient, male, 45 years old. Facial rash limbs due to pain, fatigue, irregular fever 5 years, increased with cough for 2 weeks in January 21, 2000 hospital. Patients with intermittent irregular fever in 1996, cheek erythema, joint pain, bruising, hair loss, had seen dermatology diagnosed with systemic lupus erythematosus (SLE), long-term oral administration of prednisone outside the hospital. 2 weeks ago, there was no obvious incentive cough, fever, body temperature 38-39 ℃, no improvement in antibiotic treatment to hospital. Admission examination: body temperature 38.8 ℃, pulse 86 beats / min, breathing 22 beats / min, BP 15/8 kPa, clear mind, Cushing