Braun J, Sieper J, Schulte K L, Thiel E, Janitschke K
Rheumatologische Arbeitsgruppe, Medizinische Klinik und Poliklinik, Berlin, Germany.
Clin Rheumatol. 1991 Dec;10(4):445-8. doi: 10.1007/BF02206670.
Fever in systemic lupus erythematosus (SLE) may be caused by exacerbation of the disease itself or by infection. We report on a patient with a long standing history of SLE that was complicated by fever and pancytopenia with no splenomegaly. SLE disease activity was suspected because of an elevated DNA-antibody titer. The early positive response to corticoid therapy may have masked the underlying infection. Visceral leishmaniasis was diagnosed by a repeated bone marrow biopsy and serological testing.
系统性红斑狼疮（SLE）发热可能由疾病本身的加重或感染引起。我们报告一例有长期SLE病史的患者，该患者并发发热和全血细胞减少且无脾肿大。由于DNA抗体滴度升高，怀疑SLE疾病活动。对皮质类固醇治疗的早期阳性反应可能掩盖了潜在的感染。通过反复骨髓活检和血清学检测确诊为内脏利什曼病。
