摘要
目的:总结儿童系统性红斑狼疮(SLE)的临床及实验室检查特点。方法:对本院51例住院患儿SLE的临床资料进行回顾性分析。结果:临床表现以肾损害(84.3%)、发热(70.6%)、皮疹(68.8%)、淋巴结肿大(41.2%)较常见。实验室检查以ANA(+)(92.0%)、补体降低(90.0%)、ESR升高(84.0%)、贫血(83.6%)较常见。病情活动性(SLEDAI积分)以轻至中度活动为主。结论:儿童SLE的临床表现多样化,应结合实验室检查进行分析,早期确诊,避免误诊,积极治疗。
Objective: To summarize the clinical and laboratory features of systemic lupus erythematosus in 51 pediatric cases. Methods: The clinical data of 51 cases of systemic lupus erythematosus in children were analyzed retrospectively. Results: The common clinical manifestations were renal damage( 84.3% ), fever(70.6% ), skin rash (68.8%) ,and enlarged lymph nodes(41.2% ). The common laboratory findings included positive anti-ANA antibody (90.0%) , depressed complement level(90.0% ) , quickened ESR( 84.0% )andanaemia (83.6%). Activity in disease (SLEDAI score)in the most cases were at mild to moderate levels. Conclusion:The clinical manifestations of systemic lupus erythematosus in children are diverse. It is necessary to analyze in combination with laboratory findings, in order to get a sound diagnosis and active treatment.
出处
《广州医学院学报》
2006年第5期32-35,共4页
Academic Journal of Guangzhou Medical College
关键词
儿童
系统性红斑狼疮
临床特点
children
systemic lupus erythematosus
clinical features