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在临床工作中,作者近20年来曾遇到8例结核病被误诊为系统性红斑狼疮,这些患者多为年轻女性,主要表现为长期间断性高热,长者达2年,多数为数个月,临床表现有皮疹、血沉快,肝、肾、心脏损害,球蛋白升高,也有的有雷诺氏现象、关节肿痛等表现;有2例在血液中数次找到狼疮细胞。这8例曾用免疫抑制剂治疗,多数由于结核病症状和体征明显而确诊为结核,个别病例死亡后尸检证实为全身结核。除结核外,作者还发现有乙型肝炎肝外表现者、结肠癌等
In the clinical work, in the past 20 years, the author has encountered 8 cases of tuberculosis were misdiagnosed as systemic lupus erythematosus, these patients are mostly young women, mainly for the long-term intermittent fever, the elderly up to 2 years, mostly for several months, clinical The performance of rash, ESR, liver, kidney, heart damage, globulin increased, and some Raynaud’s phenomenon, joint swelling and pain and other manifestations; there are two cases of lupus cells found in the blood several times. These 8 cases had been treated with immunosuppressive agents, mostly due to obvious symptoms and signs of tuberculosis diagnosed as tuberculosis, autopsy confirmed in a few cases after the death of systemic tuberculosis. In addition to tuberculosis, the authors also found hepatitis B extrahepatic manifestations, colon cancer and so on