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在临床工作中,有系统性红斑狼疮被漏诊的病例,但也有某些疾病易被误诊为系统性红斑狼疮者。近20年来,我们曾遇到结核病8例,被误诊为系统性红斑狼疮。这些病例多为年轻女性,主要表现长期间断性高热,长者达2年,多数是数个月,临床有皮疹、血沉快,肝、肾、心脏损害,球蛋白升高,也有表现雷诺氏现象;变应性血管负性改变;关节肿痛等表现;有2例在血液中数次找到狼疮细胞。这些病例不仅诊断为系统性红斑狼疮,而且曾给免疫抑制剂激
In clinical work, there are cases of missed diagnosis of systemic lupus erythematosus, but some diseases are easily misdiagnosed as systemic lupus erythematosus. In the past 20 years, we have encountered 8 cases of tuberculosis, was misdiagnosed as systemic lupus erythematosus. These cases are mostly young women, mainly long-term intermittent fever, the elderly up to 2 years, mostly for months, the clinical rash, ESR, liver, kidney, heart damage, globulin increased, but also the performance of Raynaud’s phenomenon ; Negative changes in allergic vascular; joint swelling and other symptoms; there are two cases of lupus in the blood to find cells. These cases not only diagnosed with systemic lupus erythematosus, but also given immunosuppressive agents