Zuber M A
Department für Innere Medizin, Innere Medizin IV, Universitätsklinikum Halle, Halle/Saale.
Z Rheumatol. 2009 Jul;68(5):409-10. doi: 10.1007/s00393-008-0414-2.
A 61-year-old male patient presented with petechiae on the arms and legs due to a thrombocytopenia of 3 Gpt/l (3000/microl). A butterfly rash on the patient's face suggested a diagnosis of systemic lupus erythematosus (SLE). The thrombocytopenia was due to autoimmune thrombocytopenia. The diagnosis of SLE could be excluded and the butterfly rash attributed to a laminar hemorrhage, an ecchymosis due to the autoimmune thrombocytopenia.
一名61岁男性患者因血小板计数为3 Gpt/l（3000/微升）而出现手臂和腿部瘀点。患者面部的蝶形红斑提示系统性红斑狼疮（SLE）诊断。血小板减少是由于自身免疫性血小板减少症。SLE诊断可排除，蝶形红斑归因于层状出血，即自身免疫性血小板减少症导致的瘀斑。
