系统性红斑狼疮性浆膜炎
Systemic lupus erythematosus serositis.
作者信息
Low V H, Robins P D, Sweeney D J
机构信息
Department of Radiology, Sir Charles Gairdner Hospital, Nedlands, Australia.
出版信息
Australas Radiol. 1995 Aug;39(3):300-2. doi: 10.1111/j.1440-1673.1995.tb00298.x.
The imaging appearances of a case of systemic lupus erythematosus, which manifested initially as a serositis, is described. Barium small bowel study showed segments of spiculation with tethering, angulation, and obstruction. On computed tomography there was ascites and segments of asymmetrical thickening of small bowel wall were observed. Laparotomy revealed extensive patchy serosal and peritoneal plaques but biopsy of these lesions did not lead to a definitive diagnosis. The diagnosis was made on the basis of marked elevation of antinuclear and anti-double stranded DNA antibodies.
描述了一例系统性红斑狼疮的影像学表现，该病例最初表现为浆膜炎。小肠钡剂造影显示有节段性毛刺样改变，并伴有肠管粘连、成角和梗阻。计算机断层扫描显示有腹水，且观察到小肠壁有节段性不对称增厚。剖腹探查发现广泛的散在性浆膜和腹膜斑块，但对这些病变进行活检未能得出明确诊断。诊断是基于抗核抗体和抗双链DNA抗体显著升高而做出的。
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