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患者女性,21岁。因右眼视力下降半年,左眼视力下降1个月就诊。患者有系统性红斑狼疮病史5年,平时口服泼尼松片,病情得以控制,但未规律复查及治疗。右眼最初发病时伴眼球转动痛,表现为晨起时上方视物模糊,4天内视力降至光感,予以皮质类固醇激素治疗1周后视力恢复至0.12,左眼视力1.0。3个月后右眼矫正视力恢复至0.25。半年后,患者出现双手及面部红斑,皮肤病变出现1个月后左眼视力下降
Patient female, 21 years old. Due to decreased visual acuity in the right eye for six months, visual acuity in the left eye dropped 1 month treatment. Patients with systemic lupus erythematosus for a history of 5 years, usually oral prednisone tablets, the disease can be controlled, but no regular review and treatment. The initial onset of right eye with eye rotation pain, the performance of the morning as the top of the blurred vision, visual acuity reduced to light perception within 4 days, 1 week after corticosteroid treatment to restore visual acuity to 0.12, left eye vision after 1.0.3 months Right eye corrected visual acuity restored to 0.25. Six months later, patients with both hands and facial erythema, skin lesions appear 1 month after the left eye vision loss