系统性红斑狼疮回并强直性脊柱炎一例(国外英文资料).docVIP

系统性红斑狼疮合并强直性脊柱炎一例(国外英文资料) Systemic lupus erythematosus is an example of the consolidation of ankylosing spondylitis Wang xiaoxia, the king of xiaoxia xiaoxia, came to the far end of the year Patient: female, 24 years old. He was admitted to hospital for more than 40 days because of intermittent headache and a year and a half of lumbar pain. When the patient was pregnant two years ago, the blood pressure was increased, and the postpartum had a lower back pain and headache. Backyard outside found positive urinary protein and occult blood positive, diagnosed as nephritis, which had a fever, oral Chinese medicine, urine protein, once disappear, but blood WBC and RBC were decreased. The above symptoms prior to admission, fever, body temperature as high as 38.8 ℃, and accompanied by obvious chills, left hand middle finger, index finger proximal interphalangeal joint swelling. There is hair loss in the course of the course, facial erythema, no canker sores, light allergy. There is pain in the foot, the joints in the chest and the joints. No family history. Physical examination: temperature 38.5 ℃, pulse is 100 times/min, 20 times/min breathing, blood pressure is 18/10 kPa. Yellow hair, his cheeks of visible butterfly erythema, not involving the nasolabial sulcus, hands visible through your fingers part a week erythema, lymph nodes, bilateral jaws on the right side of axillary lymph nodes, inguinal lymph node are and the size of the 0.5 ~ 1.0 cm, soft, good mobility. Activity degree: 2.2 cm ( 2.5 cm), sacroiliac compression test positive, 4 test for double-sided positive. Supplementary examination: blood routine: the leukocyte 2.9 by 109 / L, hemoglobin 82 g/L, platelet 174 by 109 / L. Urine routine: urine protein: ~, 24 h urine protein ration: 4.14 g, CIC 70. Complement: C3, C4 normal, immune globulin: IgA, IgG, IgM is normal. RF negative, HLA B27 - check all negative twice, 1:160 positive ANA, ENA polypeptide antibody (western blot method) resistance to Sm 13 500 (+), an