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[系统性红斑狼疮]

[Systemic lupus erythematosus].

作者信息

Aringer M, Hiepe F

机构信息

Medizinische Klinik und Poliklinik III, Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland.

出版信息

Z Rheumatol. 2011 Jun;70(4):313-23. doi: 10.1007/s00393-011-0794-6.

DOI:10.1007/s00393-011-0794-6
PMID:21688092
Abstract

Systemic lupus erythematosus (SLE) is the classical systemic autoimmune disease. Its prevalence is slightly below 1:1,000 in women and 10-fold lower in men. Typically, the disease manifests in women of childbearing age. While severe untreated SLE used to be a fatal disease, prognosis has improved stepwise with corticosteroids, cyclophosphamide and novel therapies. Deaths directly related to SLE are uncommon nowadays but infections, thromboses and accelerated atherosclerosis cause significant problems. The current review presents the state of the art in managing SLE patients.

摘要

系统性红斑狼疮(SLE)是典型的全身性自身免疫性疾病。其在女性中的患病率略低于千分之一,在男性中则低10倍。通常,该疾病在育龄女性中表现出来。虽然严重的未经治疗的SLE曾经是一种致命疾病,但随着皮质类固醇、环磷酰胺和新型疗法的出现,预后已逐步改善。如今,与SLE直接相关的死亡并不常见,但感染、血栓形成和加速的动脉粥样硬化会引发重大问题。本综述介绍了SLE患者管理的最新进展。

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本文引用的文献

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Efficacy and safety of belimumab in patients with active systemic lupus erythematosus: a randomised, placebo-controlled, phase 3 trial.贝利尤单抗治疗系统性红斑狼疮患者的疗效和安全性:一项随机、安慰剂对照、3 期临床试验。
Lancet. 2011 Feb 26;377(9767):721-31. doi: 10.1016/S0140-6736(10)61354-2. Epub 2011 Feb 4.
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Use of methotrexate in patients with systemic lupus erythematosus and primary Sjögren's syndrome.甲氨蝶呤在系统性红斑狼疮和原发性干燥综合征患者中的应用。
Clin Exp Rheumatol. 2010 Sep-Oct;28(5 Suppl 61):S156-9. Epub 2010 Oct 28.
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EULAR recommendations for the management of systemic lupus erythematosus with neuropsychiatric manifestations: report of a task force of the EULAR standing committee for clinical affairs.
[关于霉酚酸酯用于系统性红斑狼疮的声明]
Z Rheumatol. 2013 Aug;72(6):575-80. doi: 10.1007/s00393-013-1213-y.
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[Rheumatic diseases with primary onset in young adults: spondyloarthritis and connective tissue diseases].
Internist (Berl). 2012 Sep;53(9):1038-46. doi: 10.1007/s00108-012-3028-3.
EULAR 推荐的伴有神经精神表现的系统性红斑狼疮的管理:EULAR 常务委员会临床事务工作组的报告。
Ann Rheum Dis. 2010 Dec;69(12):2074-82. doi: 10.1136/ard.2010.130476. Epub 2010 Aug 19.
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