Luján Galán M, Páez Borda A, Romero Cagigal I, Llorente Abarca C, Berenguer Sánchez A
Servicio de Urología, Hospital Universitario de Getafe, Getafe, Madrid, España.
Arch Esp Urol. 1998 Jan-Feb;51(1):94-5.
To discuss the clinical implications of systemic lupus erythematosus (SLE) as a complication of a urological condition.
Herein we describe a patient who presented with acute pyelonephritis due to ureteropelvic juntion stenosis, and a superimposed activation of SLE that had not been previously detected.
This form of presentation led to a delay in making the diagnosis since it was focused urologically. The diagnosis of SLE was based on the clinical features, determination of antinuclear antibodies (ANA) and a decrease in serum complement.
When a patient consults with fever arising from a urological condition that is refractory to conventional therapy, it is mandatory to make the differential diagnosis from other disease entities, as shown in this case.
探讨系统性红斑狼疮（SLE）作为泌尿系统疾病并发症的临床意义。
本文描述了一名因输尿管肾盂连接处狭窄导致急性肾盂肾炎的患者，同时该患者还出现了先前未检测到的SLE叠加激活。
这种表现形式导致诊断延迟，因为当时诊断重点在泌尿系统方面。SLE的诊断基于临床特征、抗核抗体（ANA）测定及血清补体降低。
如本病例所示，当患者因泌尿系统疾病出现发热且常规治疗无效时，必须与其他疾病实体进行鉴别诊断。
