摘要
目的:提高外耳炎性疾病的鉴别诊断水平,从而减少误诊。方法:分析1例系统性红斑狼疮(SLE)继发耳廓化脓性软骨膜炎患者的诊治经过,进行文献复习,总结误诊经验。结果:误诊为耳廓复发性多软骨炎(RPC)继发感染,经回顾性分析更正诊断为SLE继发耳廓化脓性软骨膜炎。结论:合并其他自身免疫性疾病时,耳廓化脓性软骨膜炎和RPC鉴别十分困难。耳廓化脓感染时应仔细区分是单纯化脓性感染还是RPC继发感染。
Objective:To improve the diagnostic ability in auricular inflammatory diseases and to reduce misdiagnosis.Methods:The diagnosis and treatment of a case who suffered from auricular suppurative pericondritis secondary to systemic lupus erythematosus(SLE) was analyzed,and relative literatures were reviewed.Results:The case was firstly misdiagnosed as auricular relapsing polychondritis(RPC) with secondary infection,and then corrected as auricular suppurative pericondritis with SLE by retrospective analysis.Conclusion:Identification of auricular suppurative pericondritis and RPC is very difficult when patients are suffering from other autoimmune diseases simultaneously.In auricle with infection and purulency,single suppurative infection and RPC with secondary infection should be differentiated.
出处
《武汉大学学报(医学版)》
CAS
北大核心
2011年第5期642-644,共3页
Medical Journal of Wuhan University
关键词
耳廓感染
化脓性软骨膜炎
复发性多软骨炎
系统性红斑狼疮
误诊
Auricular Infection
Suppurative Perichondritis
Relapsing Polychondritis
Systemic Lupus Erythematosus
Misdiagnosis