Mancini Michelino
From the Emergency Medicine Residency Program, Lakeland Health, St. Joseph; Department of Internal Medicine, Michigan State University College of Osteopathic Medicine, East Lansing, MI; and Faculty of Internal Medicine, Chicago College of Osteopathic Medicine, Midwestern University, Downers Grove, IL.
Pediatr Emerg Care. 2019 Jan;35(1):e14-e16. doi: 10.1097/PEC.0000000000001066.
Systemic lupus erythematosus (SLE) is an autoimmune disease affecting multiple systems, and its various symptoms are often mistaken for other diseases. This case report describes a 15-year-old girl who presented to the emergency department with complaints of diffuse abdominal pain, facial swelling, joint pain, low-grade fever, and rash. An initial autoimmune process was suspected, and, with prompt referral, a diagnosis of SLE was confirmed. This case report and discussion review the difficulty of diagnosing SLE and the importance of maintaining autoimmune diseases, such as SLE, on an emergency physician's differential.
系统性红斑狼疮（SLE）是一种影响多个系统的自身免疫性疾病，其各种症状常被误诊为其他疾病。本病例报告描述了一名15岁女孩，她因弥漫性腹痛、面部肿胀、关节疼痛、低热和皮疹等症状就诊于急诊科。最初怀疑是自身免疫过程，经及时转诊，确诊为SLE。本病例报告及讨论回顾了诊断SLE的困难以及在急诊医生的鉴别诊断中考虑自身免疫性疾病（如SLE）的重要性。
