伴有腹水的慢性狼疮性腹膜炎
Chronic lupus peritonitis with ascites.
作者信息
Kaklamanis P, Vayopoulos G, Stamatelos G, Dadinas G, Tsokos G C
机构信息
First Department of Internal Medicine, Medical School, National University of Athens, Laiko Hospital, Greece.
出版信息
Ann Rheum Dis. 1991 Mar;50(3):176-7. doi: 10.1136/ard.50.3.176.
Abstract
A 28 year old woman with systemic lupus erythematosus who developed chronic lupus peritonitis and ascites is described. Lupus peritonitis appeared with abdominal fullness, postprandial abdominal discomfort, and painless ascites. Four months later the patient developed vertigo, headaches, visual disturbances, serositis, and glomerulonephritis. Lupus peritonitis and the other disease manifestations responded to treatment with intravenous pulse methylprednisolone (four 1 g/m2 injections at one week intervals), oral azathioprine (200 mg daily), and diuretics.
摘要
本文描述了一名28岁患有系统性红斑狼疮的女性，她出现了慢性狼疮性腹膜炎和腹水。狼疮性腹膜炎表现为腹部胀满、餐后腹部不适和无痛性腹水。四个月后，患者出现眩晕、头痛、视觉障碍、浆膜炎和肾小球肾炎。狼疮性腹膜炎及其他疾病表现对静脉注射甲基强的松龙脉冲治疗（每周一次，共四次，每次1 g/m²）、口服硫唑嘌呤（每日200 mg）及利尿剂治疗有反应。
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