以淋巴细胞性间质性肺炎为初始表现的系统性红斑狼疮。
Systemic lupus erythematosus presenting with lymphoid interstitial pneumonia as an initial manifestation.
机构信息
Department of Respiratory Medicine, Okinawa Chubu Hospital, Uruma, Japan
Department of Internal Medicine, Okinawa Chubu Hospital, Uruma, Japan.
出版信息
BMJ Case Rep. 2021 Dec 30;14(12):e243539. doi: 10.1136/bcr-2021-243539.
Abstract
A 25-year-old woman with an extensive travel history developed chronic cough and multiple lung nodules. The lung biopsy revealed lymphoid interstitial pneumonia. The patient later developed cervical lymphadenopathy, arthritis and livedo reticularis, then systemic lupus erythematosus was diagnosed with positive double-stranded DNA and low complement. The patient's symptoms responded to prednisolone and azathioprine.
摘要
一位有广泛旅行史的 25 岁女性出现慢性咳嗽和多个肺结节。肺活检显示淋巴间质肺炎。患者后来出现颈部淋巴结病、关节炎和网状青斑，随后诊断为系统性红斑狼疮，双链 DNA 阳性和补体低。患者的症状对泼尼松龙和硫唑嘌呤有反应。
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