Boulter M, Brink A, Mathias C, Peart S, Stevens J, Stewart G, Unwin R
Ann Rheum Dis. 1987 Feb;46(2):162-5. doi: 10.1136/ard.46.2.162.
A 35 year old woman presented with headache and fever. Computed brain tomography showed diffuse low attenuation in the cerebral white matter. Several months later, serological tests for systemic lupus erythematosus (SLE) became positive. In spite of immunosuppressive therapy she relapsed after six months of treatment, presenting with abdominal symptoms and signs. On this occasion an abdominal CT scan showed distended and oedematous loops of bowel attributed to an underlying vasculitis. This case illustrates novel CT scan appearances in two systems involved in SLE.
一名35岁女性出现头痛和发热症状。脑部计算机断层扫描显示脑白质弥漫性低密度影。几个月后，系统性红斑狼疮（SLE）的血清学检查呈阳性。尽管进行了免疫抑制治疗，但治疗6个月后她仍复发，出现腹部症状和体征。此次腹部CT扫描显示肠管扩张且水肿，归因于潜在的血管炎。该病例说明了SLE累及的两个系统中CT扫描出现的新表现。
