摘要
目的探讨系统性红斑狼疮（ＳＬＥ）消化系统累及的发生率及临床表现。方法对１９９０年１月～１９９７年７月北京协和医院诊断明确资料完整的２７７例ＳＬＥ住院病例进行分析。结果其中有消化系统症状体征或实验室异常者多达１５７例，占５６．７％。９８例（３５．４％）无明确酒精、药物、感染病因，且与ＳＬＥ活动性有关（Ｐ＜０．０１）。值得注意的是：４４例以胃肠病变为首发或主要表现的ＳＬＥ病例中，误诊３９例（８８．６％），最易误诊为感染性疾病，尤其是结核，其次为其它自身免疫性疾病及肿瘤。结论ＳＬＥ消化系统表现的发生率高，容易误诊，临床应引起重视。
Objectives To investigate the clinical manifestations of digestive system involvement in systemic lupus erythematosus (SLE). Methods Two hundred and seventy seven inpatients concordant with the diagnostic criteria of SLE in this hospital since 1990 were analyzed retrospectively. Results Among these, 157(56.7%) had symptoms, signs and laboratory abnormalities of digestive system. involvement. 98(35.4%) could only be ascribed to SLE istelf, and were concordant with lupus activity( P <0.01). It was noteworthy that in 44 cases gastrointestinal involvements were the presenting manifestations of SLE, of which 39 were misdiagnosed(88.6%) as infectious disease, in particular, tuberculosis, other autoimmune disease or tumor. Conclusions Digestive system involvements occur with high frequency in SLE and are easily misdiagnosed which should not be overlooked.
出处
《中华消化杂志》
CAS
CSCD
北大核心
1999年第1期42-44,共3页
Chinese Journal of Digestion
关键词
系统性红斑狼疮
消化系统
结核
诊断
误诊
Systemic lupus erythematosus Digestive system Tuberculosis〖H
