1 case of neonatal lupus erythematosus.docVIP

 PAGE \* MERGEFORMAT 8 1 case of neonatal lupus erythematosus Keywords: Neonatal lupus erythematosus Children, female, 1 h, 2007  10  19 admitted to hospital due to premature birth after the rash. Department of Children No. 2 No. 2 tire production capacity 36 +1 weeks pregnant and parturition. Of pregnant women suffering from “systemic lupus erythematosus,” Maternal Serum RO / SSA antibody (+), that had been “dexamethasone (irregular)” treatment. Examination: body temperature did not rise, pulse 140/min, respiration 55/min, weight of 1.9 kg. Premature appearance, the reaction is poor, clear consciousness, shortness of breath, skin around the bridge of the nose, see a diameter of about 0.3 cm, scattered in the red maculopapular rash, pressure of the fade. See mild inspiratory three concave Zheng, oxygen-free cases, cyanosis, coarse breath sounds lungs, no rales. The heart, abdomen no abnormalities. Limbs, muscle tension is low, the primitive reflexes decline; dorsum mild edema, the pressure of the depression. Auxiliary examination: Peripheral blood sugar 0.8 ~ 5.4 mmol / L; blood count: WBC 14.9 × 109 / L, Hb 166 g / L, PLT 82 × 109 / L, N 37.6%, L 57.9%; liver and kidney function, electrolytes: K + 4.2 mmol / L, Na 140.8 mmol / L, Cl-102.3 mmol / L, CO2CP 28 mmol / L, BUN 17.3 mmol / L, Cr 32.2 μmol / L, albumin (ALB) 30.3 g / L, total globulin ( TP) 47.7 g / L, globulin (GLB) 17.4 g / L, total bilirubin (TBIL) 134.6 μmol / L, direct bilirubin (DBIL) 18 μmol / L, alanine aminotransferase (ALT) 189.9 IU / L, aspartate aminotransferase (AST) 550.1 IU / L, creatine kinase (CK) 4274.4 IU / L, lactate dehydrogenase (LDH) 2179.2 IU / L, creatine kinase isoenzyme (CK  MB) 55 IU / L , C-reactive protein (CRP) 46.2 mg / L. Liver sieve, Mei screen, AIDS test showed no abnormality; blood cultures sterile growth; anti-tuberculosis antibody, rheumatoid factor, anti-double-stranded DNA antibody test only the anti-RO antibody / anti-Sjogren’