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一种罕见的组合:乳糜性多浆膜炎和自身免疫性骨髓纤维化作为系统性红斑狼疮的表现。

A rare combination: chylous polyserositis and autoimmune myelofibrosis as a presentation of systemic lupus erythematosus.

作者信息

Kakar Atul, Pipaliya Keyur, Gogia Atul

机构信息

Sir Ganga Ram Post-Graduate Institute Medical Education and Research (GRIPMER), New Delhi, India.

出版信息

Int J Rheum Dis. 2019 Mar;22(3):516-520. doi: 10.1111/1756-185X.12475. Epub 2015 Jan 22.

Abstract

Chylous polyserositis and autoimmune myelofibrosis occurring concomitantly inn a case of SLE are a rare phenomenon. We here report a case of a 38-year-old woman who was admitted with a history of cough and shortness of breath for 1½ months along with fever and abdominal distension for 1 month. She also had arthralgias, weight loss and pancytopenia. She was diagnosed as a case of SLE with Chylous polyserositis and autoimmune myelofibrosis. She was started on steroids and immunosuppressive therapy, to which she responded. To summarize, this is the first case report where chylous polyserositis and pancytopenia due to autoimmune myelofibrosis occurred which was responsive to steroids and immunosuppressive therapy.

摘要

乳糜性多浆膜炎和自身免疫性骨髓纤维化在系统性红斑狼疮(SLE)病例中同时出现是一种罕见现象。我们在此报告一例38岁女性,因咳嗽和气短1个半月、发热和腹胀1个月入院。她还有关节痛、体重减轻和全血细胞减少。她被诊断为患有乳糜性多浆膜炎和自身免疫性骨髓纤维化的SLE病例。她开始接受类固醇和免疫抑制治疗,并对此有反应。总之,这是第一例报告的因自身免疫性骨髓纤维化导致乳糜性多浆膜炎和全血细胞减少且对类固醇和免疫抑制治疗有反应的病例。

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