系统性红斑狼疮（SIE）患者出现高热、关节肿痛、咳嗽咯痰、胸痛胸水、舌红苔黄、脉数，此是原发病活动还是感染一临床有时较难鉴别。若感染误为SLE活动，加大激素及免疫抑制剂用量，易使感染扩散，延误病情；反之，若为SLE活动而误用某些如青霉素、异烟肼等抗感染药，往往会加 Patients with systemic lupus erythematosus (SIE) patients with high fever, joint swelling and pain, cough expectoration, chest pain, hydrothorax, red tongue yellow, pulse, this is the primary disease activity or infection is sometimes more difficult to identify a clinical. If the infection is mistaken for SLE activity, increase the amount of hormones and immunosuppressive agents, easy to spread the infection, delay the disease; the other hand, if the SLE activity and misuse of certain anti-infectives such as penicillin, isoniazid, tend to add