未成年起病的系统性红斑狼疮(systemic lupus erythe matosus,SLE)患者占总病例数15%～20%[1]。与成人相比,儿童期SLE器官受累早,病情进展迅速且症状往往比较严重。SLE消化系统受累比较常见,发生率约为50%[2]。虽然消化系统损伤发生率高,但症状往往不具特异性,因此早期认识具有重要意义。1895年首次报道SLE消化系统表现(gastrointestinal manifestations,GI),并强调GI表现可 The incidence of juvenile systemic lupus erythematosus (SLE) accounts for 15% to 20% of the total number of cases [1]. Compared with adults, childhood SLE organ involvement early, the disease progressed rapidly and the symptoms are often more serious. SLE digestive system involvement is more common, the incidence rate of about 50% [2]. Although the incidence of digestive system damage is high, but the symptoms are often not specific, so early recognition is of great significance. First reported in 1795, SLE gastrointestinal manifestations (GI), and emphasized that GI performance can be