Takase K, Ohno S, Ideguchi H, Murakami S, Takeno M, Ishigatsubo Y
Yokohama City University Medical Center, Center for Rheumatic Diseases, Yokohama, Japan.
Lupus. 2009 Feb;18(2):175-7. doi: 10.1177/0961203308094998.
It is often difficult to make a diagnosis of pleuritis associated with rheumatic diseases because of lack of specific diagnostic tools. We report a patient with lupus pleuritis from which tuberculous pleuritis was distinguished by Mycobacterium tuberculosis-specific enzyme-linked immunospot assay of pleural exudate mononuclear cells. After the diagnosis of lupus pleuritis, the patient was successfully treated with prednisolone.
由于缺乏特异性诊断工具，风湿性疾病相关胸膜炎的诊断常常存在困难。我们报告了一例狼疮性胸膜炎患者，通过对胸腔积液单个核细胞进行结核分枝杆菌特异性酶联免疫斑点试验，将其与结核性胸膜炎区分开来。在确诊为狼疮性胸膜炎后，该患者接受泼尼松龙治疗并取得成功。
