Harris Catherine R, Alwaal Amjad, Zaid Uwais B, Tasian Gregory E, Breyer Benjamin N
Department of Urology, University of California, San Francisco, USA.
Department of Urology, University of California, San Francisco, USA ; Department of Urology, King Abdul-Aziz University, Jeddah, Saudi Arabia.
Urol Ann. 2015 Jul-Sep;7(3):414-5. doi: 10.4103/0974-7796.157961.
We present a case of a young woman presenting with irritative lower urinary tract symptoms and microscopic hematuria who was diagnosed with systemic lupus erythematosus (SLE). Abdominal ultrasound revealed bilateral hydronephrosis and a thickened bladder wall. Cystoscopic evaluation revealed severe diffuse inflammation, erythema and hemorrhage at the trigone with punctate extensions to the bladder base. She was treated with prednisone and mycophenolate mofetil with improvements in her symptoms and ultrasound findings. Lupus cystitis is a rare manifestation of SLE.
我们报告一例年轻女性病例，该患者出现刺激性下尿路症状和镜下血尿，被诊断为系统性红斑狼疮（SLE）。腹部超声显示双侧肾积水和膀胱壁增厚。膀胱镜检查发现膀胱三角区严重弥漫性炎症、红斑和出血，并有点状延伸至膀胱底部。她接受了泼尼松和霉酚酸酯治疗，症状和超声检查结果均有改善。狼疮性膀胱炎是SLE的一种罕见表现。
