一例最初疑似系统性红斑狼疮的罕见且引人关注的威尔逊病病例。
A Rare and Intriguing Case of Wilson's Disease Initially Suspected of Systemic Lupus Erythematosus.
作者信息
Khodashahi Mandana, Mohajeri Najmeh, Alipour Moeid Reza, Khademi Reza, Roshan Nama Mohamadian, Aminzadeh Behzad, Joghatayi Muhammed
机构信息
Rheumatic Diseases Research Center, Ghaem Hospital, Taghi Abad Mashhad University of Medical Sciences Mashhad Iran.
Department of Pathology, Ghaem Hospital, Taghi Abad Mashhad University of Medical Sciences Mashhad Iran.
出版信息
Clin Case Rep. 2025 Jan 7;13(1):e70091. doi: 10.1002/ccr3.70091. eCollection 2025 Jan.
Abstract
When systematic lupus erythematosus-like lab results (e.g., positive anti-double-stranded DNA antibody, low complement component 3) are inconsistent with physical findings, such as the absence of arthritis or nephritis, clinicians should consider diagnoses such as Wilson's disease, especially in the presence of abnormal liver function and elevated international normalized ratio (INR).
摘要
当系统性红斑狼疮样实验室检查结果（例如，抗双链DNA抗体阳性、补体成分3降低）与体格检查结果不一致，如无关节炎或肾炎时，临床医生应考虑诸如威尔逊病等诊断，尤其是在存在肝功能异常和国际标准化比值（INR）升高的情况下。
相似文献
1
A Rare and Intriguing Case of Wilson's Disease Initially Suspected of Systemic Lupus Erythematosus.
Clin Case Rep. 2025 Jan 7;13(1):e70091. doi: 10.1002/ccr3.70091. eCollection 2025 Jan.
2
Co-occurring Wilson's disease and non-penicillamine-induced systematic lupus erythematosus: a case report and literature review.
Clin Rheumatol. 2021 Jun;40(6):2485-2490. doi: 10.1007/s10067-020-05463-z. Epub 2020 Oct 15.
3
Refractory liver dysfunction was remarkably improved with chelating agents of Wilson's disease, in a patient with systemic lupus erythematosus-like syndrome after a parvovirus B19 infection.
Mod Rheumatol Case Rep. 2021 Jan;5(1):182-187. doi: 10.1080/24725625.2020.1832754. Epub 2020 Oct 23.
4
[A case of fulminant hepatic failure in Wilson's disease combined with systemic lupus erythematosus].
Taehan Kan Hakhoe Chi. 2002 Mar;8(1):100-4.
5
A rare concomitance of Wilson's disease and systemic lupus erythematosus in a teenage girl: a case report and literature review.
Front Pediatr. 2024 Jan 8;11:1296426. doi: 10.3389/fped.2023.1296426. eCollection 2023.
6
Wilson's disease treated with penicillamine and lupus erythematosus: related or distinct entities?
Minerva Pediatr. 2012 Feb;64(1):55-7.
7
Wilson's disease combined with systemic lupus erythematosus: a case report and literature review.
BMC Neurol. 2018 Jun 15;18(1):85. doi: 10.1186/s12883-018-1085-5.
8
Systemic lupus erythematosus combined with Wilson's disease: a case report and literature review.
BMC Pediatr. 2024 Apr 15;24(1):253. doi: 10.1186/s12887-024-04713-2.
9
Systemic lupus erythematosus, hypoparathyroidism, and hemolytic anemia in a patient with Wilson's disease.
Reumatologia. 2019;57(4):239-242. doi: 10.5114/reum.2019.87622. Epub 2019 Aug 31.
10
Co-occurrence of Wilson's disease and systemic lupus erythematosus: a case report and literature review.
BMC Gastroenterol. 2021 May 21;21(1):229. doi: 10.1186/s12876-021-01814-5.
本文引用的文献
1
Wilson's Disease-Crossroads of Genetics, Inflammation and Immunity/Autoimmunity: Clinical and Molecular Issues.
Int J Mol Sci. 2024 Aug 20;25(16):9034. doi: 10.3390/ijms25169034.
2
Systemic lupus erythematosus combined with Wilson's disease: a case report and literature review.
BMC Pediatr. 2024 Apr 15;24(1):253. doi: 10.1186/s12887-024-04713-2.
3
Attribution of neuropsychiatric symptoms and prioritization of evidence in the diagnosis of neuropsychiatric lupus: mixed methods analysis of patient and clinician perspectives from the international INSPIRE study.
Rheumatology (Oxford). 2024 Dec 1;63(12):3471-3485. doi: 10.1093/rheumatology/kead685.
4
The Great Imitator Strikes Again: A Case of a Lupus Flare-up Presenting Like an Acute Abdomen.
HCA Healthc J Med. 2020 Feb 27;1(1):35-37. doi: 10.36518/2689-0216.1012. eCollection 2020.
5
Not all autoantibodies are clinically relevant. Classic and novel autoantibodies in Sjögren's syndrome: A critical review.
Front Immunol. 2022 Oct 17;13:1003054. doi: 10.3389/fimmu.2022.1003054. eCollection 2022.
6
A case of drug-induced acute liver failure caused by corticosteroids.
Clin J Gastroenterol. 2022 Oct;15(5):946-952. doi: 10.1007/s12328-022-01661-1. Epub 2022 Aug 1.
7
D-penicillamine-induced lupus erythematosus as an adverse reaction of treatment of Wilson's Disease.
Neurol Neurochir Pol. 2021;55(6):595-597. doi: 10.5603/PJNNS.a2021.0080. Epub 2021 Oct 27.
8
Wilson's disease: update on pathogenesis, biomarkers and treatments.
J Neurol Neurosurg Psychiatry. 2021 Oct;92(10):1053-1061. doi: 10.1136/jnnp-2021-326123. Epub 2021 Aug 2.
9
Overuse of diagnostic testing in healthcare: a systematic review.
BMJ Qual Saf. 2022 Jan;31(1):54-63. doi: 10.1136/bmjqs-2020-012576. Epub 2021 May 10.
10
Autoantibodies associated with primary biliary cholangitis are common among patients with systemic lupus erythematosus even in the absence of elevated liver enzymes.
Clin Exp Immunol. 2021 Jan;203(1):22-31. doi: 10.1111/cei.13512. Epub 2020 Sep 29.
Zotero 插件