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系统性红斑狼疮并发蛋白丢失性肠病的危险因素

陈真 苏丽 李梦涛 王婷 王迁 田新平 曾小峰

中华临床免疫和变态反应杂志2017,Vol.11Issue(3):264-268,5.
中华临床免疫和变态反应杂志2017,Vol.11Issue(3):264-268,5.DOI:10.3969∕j.issn.1673-8705.2017.03.012

系统性红斑狼疮并发蛋白丢失性肠病的危险因素

Risk Factors of Patients with Protein-losing Enteropathy in Systemic Lupus Erythematosus

陈真 1苏丽 2李梦涛 2王婷 2王迁 2田新平 2曾小峰2

作者信息

  • 1. 福建医科大学附属第二医院免疫内科, 福建泉州362000
  • 2. 中国医学科学院北京协和医学院北京协和医院风湿免疫科风湿免疫病学教育部重点实验室,北京100730
  • 折叠

摘要

Abstract

Objective To analyze clinical characteristics, laboratory findings, and risk factors of the protein-losing enteropathy ( PLE) in systemic lupus erythematosus ( SLE). Methods A retrospective, case-control study was performed in 60 patients with SLE-related PLE ( PLE group) and 120 patients with active SLE ( control group) admitted to our center from January 2000 to December 2015. Variables with sig-nificant P values between groups in the univariate analysis were further analyzed by a multivariate Logistic regression model to predict independent risk factors for SLE-related PLE. Results The PLE group had lower mean serum albumin and 24-hour urine protein levels, higher mean total plasma cholesterol levels, and greater frequencies of anti-SSA and SSB positivity compared with the control group. Anti-SSA seropositivity, hypoalbuminemia, and hypercholesterolemia were independent risk factors for SLE-related PLE. Conclusion SLE-related PLE should be considered when an SLE patient presents with anti-SSA antibody seropositivity, hypercholesterolemia, and severe hypoalbuminemia.

关键词

红斑狼疮,系统性/蛋白丢失性肠病/自身抗体

Key words

lupus erythematosus,systemic/protein-losing enteropathies/autoantibodies

分类

医药卫生

引用本文复制引用

陈真,苏丽,李梦涛,王婷,王迁,田新平,曾小峰..系统性红斑狼疮并发蛋白丢失性肠病的危险因素[J].中华临床免疫和变态反应杂志,2017,11(3):264-268,5.

基金项目

福建省自然科学基金 (2015J01384), 福建省卫生系统中青年骨干人才培养项目 (2015-ZQN-JC-27) (2015J01384)

中华临床免疫和变态反应杂志

OACSTPCD

1673-8705

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