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系统性红斑狼疮:一例伴有不寻常表现且血浆置换后预后良好的病例报告

Systemic lupus erythematosus: a case report with unusual manifestations and favourable outcome after plasmapheresis.

作者信息

Garcia-Consuegra J, Merino R, Alonso A, Goded F

机构信息

Unit of Paediatric Rheumatology, La Paz Children's Hospital, Madrid, Spain.

出版信息

Eur J Pediatr. 1992 Aug;151(8):581-2. doi: 10.1007/BF01957726.

DOI:10.1007/BF01957726
PMID:1505576
Abstract

We report a case of systemic lupus erythematosus (SLE) in a 15-year-old girl with severe neurological disease, platelet function disorder and pulmonary haemorrhage, which remitted after plasmapheresis. The patient developed protein-losing enteropathy shrinking lung, and acute pancreatitis with pseudocyst formation. These infrequent complication of SLE are discussed.

摘要

我们报告了一例15岁患严重神经疾病、血小板功能障碍和肺出血的系统性红斑狼疮(SLE)女孩,该患者在进行血浆置换后病情缓解。该患者还出现了蛋白丢失性肠病、肺萎陷以及伴有假性囊肿形成的急性胰腺炎。本文对这些SLE罕见并发症进行了讨论。

相似文献

1
Systemic lupus erythematosus: a case report with unusual manifestations and favourable outcome after plasmapheresis.系统性红斑狼疮:一例伴有不寻常表现且血浆置换后预后良好的病例报告
Eur J Pediatr. 1992 Aug;151(8):581-2. doi: 10.1007/BF01957726.
2
Systemic lupus erythematosus with concurrent protein-losing enteropathy and primary sclerosing cholangitis: a unique association.系统性红斑狼疮并发蛋白丢失性肠病和原发性硬化性胆管炎:一种独特的关联。
Lupus. 2006;15(2):102-4. doi: 10.1191/0961203306lu2251cr.
3
Systemic lupus erythematosus with repeated protein-losing enteropathy resulting from different pathological conditions: a case report.系统性红斑狼疮伴反复发作蛋白丢失性肠病的不同病理状态:病例报告。
Mod Rheumatol Case Rep. 2020 Jul;4(2):229-232. doi: 10.1080/24725625.2020.1738988. Epub 2020 Mar 12.
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A case of systemic lupus erythematosus presenting with protein-losing enteropathy.一例以蛋白丢失性肠病为表现的系统性红斑狼疮。
Turk J Gastroenterol. 2006 Sep;17(3):226-30.
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Protein-losing enteropathy in systemic lupus erythematosus.系统性红斑狼疮中的蛋白丢失性肠病
Hum Pathol. 1982 Nov;13(11):1053-5. doi: 10.1016/s0046-8177(82)80102-0.
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Protein losing enteropathy as the initial manifestation of childhood systemic lupus erythematosus.蛋白丢失性肠病作为儿童系统性红斑狼疮的初始表现
J Rheumatol. 1996 Jul;23(7):1269-71.
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Pancreatitis leading to thrombotic thrombocytopenic purpura in systemic lupus erythematosus: a case report and review of literature.胰腺炎导致系统性红斑狼疮患者发生血栓性血小板减少性紫癜:一例病例报告及文献复习
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Gastrointestinal system involvement in systemic lupus erythematosus.系统性红斑狼疮的胃肠道系统受累情况。
Lupus. 2017 Oct;26(11):1127-1138. doi: 10.1177/0961203317707825. Epub 2017 May 19.
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Protein-losing enteropathy in systemic lupus erythematosus: report of a severe, persistent case and review of pathophysiology.
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Protein-losing enteropathy in systemic lupus erythematosus.系统性红斑狼疮中的蛋白丢失性肠病
Am J Gastroenterol. 1983 Mar;78(3):152-4.

引用本文的文献

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Acute pancreatitis and macrophage activation syndrome in pediatric systemic lupus erythematosus: case-based review.儿童系统性红斑狼疮中的急性胰腺炎和巨噬细胞活化综合征:基于病例的综述
Rheumatol Int. 2020 May;40(5):811-819. doi: 10.1007/s00296-019-04388-4. Epub 2019 Aug 3.
2
Retrospective analysis of plasma exchange combined with glucocorticosteroids for the treatment of systemic lupus erythematosus-related acute pancreatitis in central China.血浆置换联合糖皮质激素治疗中国中部地区系统性红斑狼疮相关急性胰腺炎的回顾性分析
J Huazhong Univ Sci Technolog Med Sci. 2016 Aug;36(4):501-508. doi: 10.1007/s11596-016-1615-6. Epub 2016 Jul 28.
3

本文引用的文献

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Systemic lupus erythematosus and intestinal venulitis.系统性红斑狼疮与肠道小静脉炎。
Gastroenterology. 1981 Sep;81(3):570-9.
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The clotting defect in SLE.系统性红斑狼疮中的凝血缺陷。
Clin Rheum Dis. 1982 Apr;8(1):137-51.
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Acute pancreatitis in systemic lupus erythematosus: report of twenty cases and a review of the literature.系统性红斑狼疮合并急性胰腺炎:20例报告及文献复习
Systemic lupus erythematosus-related pancreatitis in children.
儿童系统性红斑狼疮相关性胰腺炎。
Clin Rheumatol. 2013 Jun;32(6):913-8. doi: 10.1007/s10067-013-2242-2. Epub 2013 May 15.
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Lupus protein-losing enteropathy (LUPLE): a systematic review.狼疮蛋白丢失性肠病(LUPLE):系统评价。
Rheumatol Int. 2011 Aug;31(8):995-1001. doi: 10.1007/s00296-011-1827-9. Epub 2011 Feb 23.
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Protein-losing enteropathy associated with systemic lupus erythematosus: response to cyclophosphamide.与系统性红斑狼疮相关的蛋白丢失性肠病:对环磷酰胺的反应
Rheumatol Int. 2005 Mar;25(2):135-8. doi: 10.1007/s00296-004-0483-8. Epub 2004 Jul 13.
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Systemic lupus erythematosus and acute pancreatitis: a case series.系统性红斑狼疮与急性胰腺炎:病例系列
Clin Rheumatol. 2004 Apr;23(2):147-51. doi: 10.1007/s10067-003-0793-3. Epub 2004 Feb 7.
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Treatment options for juvenile-onset systemic lupus erythematosus.青少年型系统性红斑狼疮的治疗选择。
Paediatr Drugs. 2002;4(4):241-56. doi: 10.2165/00128072-200204040-00004.
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Platelet function and coagulation profile in lupus erythematosus. Studies in 50 patients.红斑狼疮患者的血小板功能和凝血指标。50例患者的研究。
Ann Intern Med. 1974 Oct;81(4):462-8. doi: 10.7326/0003-4819-81-4-462.
5
Shrinking lungs, diaphragmatic dysfunction, and systemic lupus erythematosus.肺脏萎缩、膈肌功能障碍与系统性红斑狼疮
Am Rev Respir Dis. 1985 Oct;132(4):926-8. doi: 10.1164/arrd.1985.132.4.926.
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Protein-losing enteropathy in systemic lupus erythematosus.
Digestion. 1985;31(4):243-6. doi: 10.1159/000199206.
7
Treatment. Disease-modifying therapies.治疗。病情改善疗法。
Rheum Dis Clin North Am. 1988 Apr;14(1):223-43.
8
Pancreatic disease in the autoimmune rheumatic disorders.自身免疫性风湿性疾病中的胰腺疾病
Semin Arthritis Rheum. 1989 Dec;19(3):158-65. doi: 10.1016/0049-0172(89)90028-0.
9
The pulmonary manifestations of childhood onset systemic lupus erythematosus.儿童期起病的系统性红斑狼疮的肺部表现。
Semin Arthritis Rheum. 1990 Apr;19(5):285-93. doi: 10.1016/0049-0172(90)90051-g.