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1 病历摘要 患者女性,37岁,因颜面红斑5年,发热伴尿少5天于1993年12月9日入院。5年前患者无诱因出现面部红斑,为对称性,分布于两面颊及鼻梁部,表面光滑,阳光照射后皮疹加重并有脱屑。伴发热及关节疼痛,体温38℃左右,无发冷及寒战。关节痛以足、膝、腕、踝关节为主,并有脱发及雷诺氏现象。同时患者反复有口腔溃疡。院外查尿蛋白(+++),诊断为系统性红斑狼疮、狼疮性肾炎,给予强的松30mg/d口服及间断应用环磷酰胺静点(200mg/次),上述症状控制。以后一直服用强的松30mg/d。一年前院外
1 medical records Summary Female patients, 37 years old, due to facial erythema for 5 years, fever with oliguria 5 days in December 9, 1993 admission. Five years ago, there was no predisposition for erythema in the face of the patient. Symmetry was found on the cheeks and the bridge of the nose. The surface was smooth and the skin rash was aggravated and desquamation occurred after the sun was shined. With fever and joint pain, body temperature about 38 ℃, no chills and chills. Joint pain to foot, knee, wrist, ankle-based, and hair loss and Raynaud’s phenomenon. At the same time, patients repeatedly have oral ulcers. Out-of-hospital urine protein (+++), diagnosed as systemic lupus erythematosus, lupus nephritis, given prednisone 30mg / d oral and intermittent cyclophosphamide intravenous injection (200mg / time), the above symptoms. After taking prednisone 30mg / d. A year ago outside the hospital