Rafiq Muhammad Khizar
Department of Neurosurgery, Royal Hallamshire Hospital, Glossop Road, Sheffield S10 2JF, UK.
BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.11.2008.1194. Epub 2009 Mar 17.
An 18-year-old Asian girl was referred to the nephrology unit with rapidly progressive renal failure. At the age of 15 she was diagnosed as having systemic lupus erythematosus but had defaulted treatment. Her renal functions improved with cyclophosphamide pulse treatment but she continued to have central nervous system vasculitis, gastrointestinal vasculitis and opportunistic infections making her a unique and challenging case of systemic lupus erythematosus.
一名18岁的亚洲女孩因快速进展的肾衰竭被转诊至肾病科。15岁时,她被诊断患有系统性红斑狼疮,但中断了治疗。她的肾功能通过环磷酰胺脉冲治疗有所改善,但仍持续存在中枢神经系统血管炎、胃肠道血管炎和机会性感染,这使她成为系统性红斑狼疮中一个独特且具有挑战性的病例。