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[两例狼疮性膀胱炎及文献综述]

[Two cases of lupus cystitis and literature review].

作者信息

Li Yisha, Luo Hui, Xie Yanli, Zuo Xiaoxia

机构信息

Department of Rheumatology, Central South University, Changsha 410008, China.

出版信息

Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2011 Aug;36(8):813-6. doi: 10.3969/j.issn.1672-7347.2011.08.022.

Abstract

OBJECTIVE

To improve the understanding of lupus cystitis.

METHODS

Clinical manifestations, laboratory Results , and image information of 2 cases of lupus cystitis were analysed retrospectively, and another 6 cases in the literature were reviewed.

RESULTS

Two patients were female. The urinary symptoms followed the gastrointestinal symptoms. Ureterectasia and hydronephrosis were detected in both patients, and intestinal pseudo-obstruction was detected in one patient. In the 6 cases from the literature, ureterectasia and hydronephrosis were detected in all patients, and intestinal pseudo-obstruction was detected in 4.

CONCLUSION

The possibility of lupus cystitis should be considered when lupus patients complain of urinary or bowel symptoms. Glucocorticoid and immunodepressant are effective for lupus cystitis.

摘要

目的

提高对狼疮性膀胱炎的认识。

方法

回顾性分析2例狼疮性膀胱炎患者的临床表现、实验室检查结果及影像学资料,并复习文献中的另外6例病例。

结果

2例患者均为女性。泌尿系统症状出现在胃肠道症状之后。2例患者均检测到输尿管扩张和肾积水,1例患者检测到肠道假性梗阻。在文献报道的6例病例中,所有患者均检测到输尿管扩张和肾积水,4例检测到肠道假性梗阻。

结论

狼疮患者出现泌尿系统或肠道症状时,应考虑狼疮性膀胱炎的可能性。糖皮质激素和免疫抑制剂对狼疮性膀胱炎有效。

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