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系统性红斑狼疮(SLE)临床表现呈多样性,极易误诊。下面就几类较多见的特殊情况略述如下。 1 迟发型SLE(Late onset lupus) 指50岁以上发病的SLE,临床以隐匿发作、低热以及症状较轻为特点。高热、脱发、关节炎和颊部红斑少见。而外周神经病、肌痛、全血细胞降低以及转氨酶升高多见。较少累及主要脏器。男、女患病率无明显差异,血清学发现与典型SLE无大差别。其死亡原因
The clinical manifestations of systemic lupus erythematosus (SLE) showed diversity, easily misdiagnosed. Here are some more common special cases outlined below. 1 Late onset SLE (Late onset lupus) refers to the onset of SLE over the age of 50, the clinical features of occult attacks, fever and mild symptoms are characterized. High fever, hair loss, arthritis and cheek erythema rare. And peripheral neuropathy, myalgia, pancytopenia and elevated ALT more common. Less involving the main organs. Male and female prevalence no significant difference, serological findings and typical SLE no significant difference. The cause of death