Department of Pediatrics, Ministry of Health, Sultanate of Oman, Oman, Umon.
Indian J Pediatr. 2010 May;77(5):561-2. doi: 10.1007/s12098-010-0069-2. Epub 2010 May 7.
Epistaxis as a presenting complaint in systemic lupus erythematosus is very rare. An 11-yr-old girl presented with an episode of profuse epistaxis, self limiting, and was seen to be anemic with deranged coagulation profile. Subsequent work up showed the child to have thrombocytopenia, and she had blood and platelet transfusion. However, the epistaxis of the thrombocytopenia persisted, despite the corrective measures. Investigations for the cause of thrombocytopenia, lead to the discovery of laboratory features, suggestive of systemic lupus erythematosus.
鼻出血作为系统性红斑狼疮的首发症状非常罕见。一名 11 岁女孩出现一次严重的自限性鼻出血，就诊时发现贫血和凝血功能异常。进一步检查发现患儿血小板减少，给予输血治疗。然而，尽管采取了纠正措施，血小板减少引起的鼻出血仍持续存在。为了明确血小板减少的病因，进行了一系列检查，结果显示出一些实验室特征，提示可能患有系统性红斑狼疮。
