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系统性红斑狼疮合并结核的临床特征和相关因素分析

詹钟平 劳敏曦 苏凡 陈冬莹 梁柳琴 杨岫岩

实用医学杂志2017,Vol.33Issue(21):3552-3555,4.
实用医学杂志2017,Vol.33Issue(21):3552-3555,4.DOI:10.3969/j.issn.1006-5725.2017.21.013

系统性红斑狼疮合并结核的临床特征和相关因素分析

Clinical features of tuberculosis in patients with systemic lupus erythematosus

詹钟平 1劳敏曦 2苏凡 3陈冬莹 1梁柳琴 1杨岫岩1

作者信息

  • 1. 510080 广州市,中山大学附属第一医院风湿免疫科
  • 2. 510080 广州市,中山大学附属第一医院老年病科
  • 3. 510080 广州市,中山大学附属第一医院内科门诊
  • 折叠

摘要

Abstract

Objective To describe the characteristics and risk factors for Mycobacterium tuberculosis (TB)infection in patients with systemic lupus erythematosus(SLE).Methods A retrospective analysis was per-formed. Results Among our sample of 784 hospitalized patients,42(5.4%)were diagnosed with TB infection. Seventeen were pulmonary TB,11 were pulmonary and extra-pulmonary TB and 14 were extra-pulmonary TB.hest X-rays showed Abnormal chest imaging was observed in 34 cases,among which,19 were multi-lobar involvements and 9 were single-lobe involvements. Logistic regression multivariate analysis indicated that anemia and the daily mean dose of glucocorticoid(GC)were associated with TB. Conclusions Manifestations of TB in SLE patients were atypical.Anemia and the daily mean dose of GC were associated with TB.

关键词

系统性红斑狼疮/活动性结核/肺结核/肺外结核

Key words

systemic lupus erythematosus/mycobacterium tuberculosis/pulmonary tuberculosis/extra-pulmonary tuberculosis

引用本文复制引用

詹钟平,劳敏曦,苏凡,陈冬莹,梁柳琴,杨岫岩..系统性红斑狼疮合并结核的临床特征和相关因素分析[J].实用医学杂志,2017,33(21):3552-3555,4.

基金项目

国家自然科学基金资助项目(编号:81603435, 81601403) (编号:81603435, 81601403)

广东省科技计划项目(编号:2014A020221009, 2016A020215043) (编号:2014A020221009, 2016A020215043)

实用医学杂志

OA北大核心CSTPCD

1006-5725

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