A Medical Record of Systemic Lupus Erythematosus

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Case HistoryrnPatient Chen, female, 68 years, case number: 9800297; date of hospitalization: May 11, 1998.rnChief complaints: Fever accompanied with cough and lassitude for 3 months and skin rash for 7 days.rnHistory of present illness: In early Feb. 1998, the patient got fever accompanied with cough, chest distress, and expectoration of sticky sputum. She had been diagnosed at a hospital and later at a clinic as chronic bronchitis and pneumonia, and treated for more than 50 days with antibiotics and medication of some drugs for cough and sputum, but with no complete remission of the symptoms. One week previously, she developed general skin rash mainly in the face, accompanied with itching, high body temperature of 38~39℃, aggravated cough and chest distress, lassitude, poor appetite, slight thirst, absence of bowel movement for 3 days, and yellow brownish urine.
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