Department of Medicine, Hospital de Clínicas José de San Martín, University of Buenos Aires, Buenos Aires, Argentina.
J Clin Rheumatol. 2013 Mar;19(2):87-9. doi: 10.1097/RHU.0b013e3182847260.
We describe a patient with a history of discoid lupus erythematosus who presented with chylous ascites and chylothorax. Analysis of peritoneal and pleural fluid showed a high level of triglycerides and the presence of antinuclear antibody and anti-dsDNA antibody. Further study revealed other diagnostic criteria for systemic lupus erythematosus and serologic markers of disease activity. The patient was successfully treated with methylprednisolone pulse therapy and high doses of prednisone, followed by immunosuppressants.
我们描述了一位患有盘状红斑狼疮病史的患者，其表现为乳糜性腹水和乳糜性胸腔积液。对腹腔和胸腔积液的分析显示甘油三酯水平较高，且存在抗核抗体和抗双链 DNA 抗体。进一步的研究揭示了其他系统性红斑狼疮的诊断标准和疾病活动的血清学标志物。该患者成功地接受了甲基强的松龙脉冲治疗和大剂量泼尼松治疗，随后使用了免疫抑制剂。
