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儿童系统性红斑狼疮

Systemic lupus erythematosus in children.

作者信息

Chen J H, Lin C Y, Chen W P, Tang R B, Hwang B

出版信息

Zhonghua Min Guo Wei Sheng Wu Ji Mian Yi Xue Za Zhi. 1987 Feb;20(1):23-8.

PMID:3595262
Abstract

A retrospective study was made of 137 children with systemic lupus erythematosus (SLE) seen at the Veterans General Hospital in the past 12 years. There were 116 females (84.7%), and 21 males (15.3%). The peak ages of onset were 13-14 years and 16-17 years. Malar rash, arthritis and fever were the most common presentations, as in previous studies. Central nervous system (CNS) involvement occurred in 24 cases (17.5%), and renal disorder was noted in 77 cases (56.2%). Renal biopsy in 67 cases showed a pathological transformation rate of 16.1% (5/31). Ten patients died during the study period, with renal insufficiency the primary cause of death.

摘要

对过去12年在荣民总医院就诊的137例系统性红斑狼疮(SLE)患儿进行了回顾性研究。其中女性116例(84.7%),男性21例(15.3%)。发病高峰年龄为13 - 14岁和16 - 17岁。如先前研究一样,颧部皮疹、关节炎和发热是最常见的表现。24例(17.5%)出现中枢神经系统(CNS)受累,77例(56.2%)有肾脏疾病。67例患者的肾活检显示病理转化率为16.1%(5/31)。研究期间有10例患者死亡,主要死亡原因是肾功能不全。

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