临床误诊误治2017，Vol.30Issue(4)：28-31,4.DOI:10.3969/j.issn.1002-3429.2017.04.010
老年男性系统性红斑狼疮长期误诊分析
Misdiagnosis Analysis of One Elderly Patient with Systemic Lupus Erythematosus
俞传琪 1宗雪 1张翀1
作者信息
- 1. 00092 上海,上海交通大学医学院附属新华医院肾脏科
- 折叠
摘要
Abstract
Objective To discuss diagnosis and treatment of atypical systemic lupus erythematosus (SLE).Methods Clinical data of one SLE patient misdiagnosed as having lymph node tuberculosis was retrospectively analyzed.Results A 78-years-old male was admitted for foamy urine, increasing nocturia and repeat oral ulcer for one year.The patient was misdiagnosed as having lymph node tuberculosis for multiple mediastinal lymph nodes enlargement 3 years ago by result of lymph node biopsy, but symptoms failed to alleviate by anti-tuberculosis therapy after transferring to tuberculosis hospital.After admission in our hospital, results of antinuclear antibodies and anti-double-stranded DNA antibody were positive, and leukocytes, erythrocytes and hemoglobin levels in peripheral blood were decreased, and he had multiple organ injuries such as joint pain and repeat mouth ulcers, and then SLE was confirmed.Symptoms were relieved, and immunological indexes and leukocytes, erythrocytes and hemoglobin levels in peripheral blood were significantly improved after glucocorticoids treatment.Conclusion Part of SLE patients have atypical symptoms, especially in male patients, and therefore it is easily misdiagnosed.Clinicians should consider a diagnosis of SLE for elderly patients with unexplained decline in leukocytes, erythrocytes and hemoglobin levels in peripheral blood associated by oral ulcers, joint pain and lymph nodes enlargement, and immunological test should be performed as early as possible to avoid misdiagnosis and missed diagnosis.关键词
系统性红斑狼疮/淋巴结结核/男性/误诊Key words
Systemic lupus erythematosus/lymph node tuberculosis/Male/Misdiagnosis分类
医药卫生引用本文复制引用
俞传琪,宗雪,张翀..老年男性系统性红斑狼疮长期误诊分析[J].临床误诊误治,2017,30(4):28-31,4.
