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[系统性红斑狼疮病史中的主要阶段]

[The main stages in the history of systemic lupus erythematosus].

作者信息

Rampudda M, Marson P, Pasero G

机构信息

Cattedra e U.O.C. di Reumatologia, Università di Padova, Padova, Italia.

出版信息

Reumatismo. 2009 Apr-Jun;61(2):145-52. doi: 10.4081/reumatismo.2009.145.

Abstract

Systemic lupus erythematosus can be considered the most characteristic and important among the connective tissue diseases. In this short review the main stages of its history are sketched, from the introduction of the term "lupus", traditionally attributed to Roger Frugardi, in 1230 (but in fact already documented in the 10th century) to the actual knowledge of its clinical and laboratory aspects. Initially considered exclusively of dermatological interest, the first to describe a systemic form with visceral involvement were Moriz Kohn Kaposi and William Osler. Significant contribution was also given by serological diagnosis, and in particular, by the identification of specific markers of disease, such as anti-native DNA and anti-Sm antibodies, allowing early diagnosis and the establishment of an adequate therapy.

摘要

系统性红斑狼疮可被认为是结缔组织病中最具特征性和最重要的疾病。在这篇简短的综述中,勾勒了其历史的主要阶段,从1230年(但实际上在10世纪已有记载)传统上归功于罗杰·弗鲁加迪引入“狼疮”一词,到对其临床和实验室方面的实际认识。起初仅被认为具有皮肤科意义,最早描述伴有内脏受累的系统性形式的是莫里茨·科恩·卡波西和威廉·奥斯勒。血清学诊断也做出了重大贡献,特别是通过鉴定疾病的特异性标志物,如抗天然DNA和抗Sm抗体,从而实现早期诊断并确立适当的治疗方法。

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