Waseem Muhammad, Alsheikh Mohammed, Hana Antoin
Department of Emergency Medicine, Lincoln Medical and Mental Health Center, Bronx, NY 10451, USA.
Pediatr Emerg Care. 2007 Apr;23(4):238-41. doi: 10.1097/PEC.0b013e31803f5a6f.
Systemic lupus erythematosus (SLE) is a multisystem inflammatory disease that is often difficult to diagnose in the emergency department. It is an autoimmune disease with great variability in presentation and course. Moreover, the atypical or incomplete presentation is common in children and can result in delay in diagnosis. Consideration of the possibility of SLE is important when evaluating a patient with symptoms and/or signs suggesting multisystem disease. The emergency physician must maintain a high degree of suspicion for the early diagnosis and management of this important condition. We present 3 children who presented to emergency department with different initial manifestations of SLE.
系统性红斑狼疮（SLE）是一种多系统炎症性疾病，在急诊科常常难以诊断。它是一种自身免疫性疾病，临床表现和病程差异很大。此外，非典型或不完全表现在儿童中很常见，可能导致诊断延迟。在评估有提示多系统疾病症状和/或体征的患者时，考虑SLE的可能性很重要。急诊医生必须对这种重要疾病的早期诊断和管理保持高度怀疑。我们介绍了3名因SLE不同初始表现就诊于急诊科的儿童。
