Schmidt W A, Schneider W, Gromnica-Ihle E J
Rheumanklinik Berlin-Buch, Berlin.
Z Rheumatol. 1996 Jul-Aug;55(4):267-71.
A 20-year old female patient with systemic lupus erythematosus with butterfly-erythema, arthritis, high positive ANA and anti-ds-DNA titres has to have laparatomy because of an acute abdomen. Histological diagnosis is a necrotizing vasculitis of the appendix. In systemic lupus erythematosus an intestinal vasculitis can be found which might be as severe as in polyarteritis nodosa.
一名20岁女性系统性红斑狼疮患者,有蝶形红斑、关节炎,抗核抗体(ANA)及抗双链DNA(anti-ds-DNA)滴度呈强阳性,因急腹症需行剖腹手术。组织学诊断为阑尾坏死性血管炎。在系统性红斑狼疮中可发现肠道血管炎,其严重程度可能与结节性多动脉炎一样。