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新生儿红斑狼疮:五年病例回顾

Neonatal lupus erythematosis: a five-year case review.

作者信息

Porcel Chacón Rocío, Tapia Ceballos Leopoldo, Díaz Cabrera Rocío, Gutiérrez Perandones María Teresa

机构信息

Área de Pediatría, Hospital Costa del Sol, Marbella, Málaga, España.

Área de Pediatría, Hospital Costa del Sol, Marbella, Málaga, España.

出版信息

Reumatol Clin. 2014 May-Jun;10(3):170-3. doi: 10.1016/j.reuma.2013.10.005. Epub 2013 Dec 2.

Abstract

Neonatal lupus erythematosus is an infrequent disease seen in newborns. It is caused by transplacental maternal autoantibody passage. Cutaneous involvement and congenital heart block (CHB) are the most common affections, although it may involve multiple organs like the liver, lungs, blood, nervous or digestive systems. This article present a review of the four cases diagnosed in the past five years in a Neonatal Unit, which shows the different clinical spectrum which can develop around this disease (CHB, multisystemic affection and two cutaneous cases), different autoantibodies (specially anti-SSA) with an early negativization during the first year of life and the possibility of future collagen vascular disease as occurred in one case.

摘要

新生儿红斑狼疮是一种在新生儿中罕见的疾病。它是由母体自身抗体经胎盘传递所致。皮肤受累和先天性心脏传导阻滞(CHB)是最常见的表现,尽管它可能累及多个器官,如肝脏、肺、血液、神经或消化系统。本文对一家新生儿病房在过去五年中诊断的四例病例进行了综述,展示了围绕该疾病可能出现的不同临床谱(CHB、多系统受累和两例皮肤病例)、不同的自身抗体(特别是抗SSA)在生命第一年早期转阴的情况以及未来发生胶原血管病的可能性,如其中一例所发生的情况。

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