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病历摘要患者,男,16岁。患者1981年10月起无诱因双指趾端出现多个大小不等的红色斑疹,指端遇冷时变青紫色,伴麻木感。1982年春发现颜面有片状红斑,相继出现脱发。1983年4月起上述症状加重,并出现双膝、手关节肿痛。同年4月底出现尿急、尿频。经住院检查抗核抗体1:20呈阳性,抗DNA 抗体65.9%,血中找到个别 LE 细胞。类风湿因子(-)。IC0.024/45波长,C_340/ml,IgG20.80mg/ml,IgA4.12mg/ml,IgM1.52mg/ml。尿比重1.024,尿蛋白(?),红血球15—20,白细胞1—3。诊为系统性红斑狼疮(SLE)。经激素等治疗1月余,症状好转出院。同年9月因蛋白(?),白细胞满视野、
Patient summary, male, 16 years old. There was no incentive for the patient in October 1981 to have multiple red patches of varying sizes on both digit toe ends, turning the fingertips into pale purple with numbness on the fingertips. In the spring of 1982, there were flaky erythema on face and hair loss occurred in succession. April 1983 since the symptoms worsened, and the knees, joint pain. The same year the end of April urinary urgency, frequent urination. Anti-nuclear antibodies by in-hospital examination 1:20 was positive, anti-DNA antibody 65.9%, found in the blood of individual LE cells. Rheumatoid factor(-). IC0.024 / 45 wavelength, C_340 / ml, IgG20.80mg / ml, IgA4.12mg / ml, IgM1.52mg / ml. Urine specific gravity 1.024, urinary protein (?), Red blood cells 15-20, white blood cells 1-3. Diagnosed with systemic lupus erythematosus (SLE). More than 1 month after treatment with hormones, symptoms improved discharge. In September the same year due to protein (?), White blood cells full field,