以腹部巨大包块为特殊表现的系统性红斑狼疮1例并文献复习

A case of systemic lupus erythematosus with a large abdominal mass as a special presentation and review of relevant literatures

目的探讨系统性红斑狼疮(SLE)的不典型临床表现,在临床上早期识别,减少漏诊误诊。方法回顾分析淄博市中心医院收治的1例以腹部巨大包块为特殊表现的SLE患者的临床资料,并复习相关文献。结果患者,女,29岁,发热伴腹部巨大包块,院外经抗结核等治疗后未见好转,入淄博市中心医院确诊为SLE后,经激素冲击、免疫抑制剂等治疗后病情明显好转,但仍不能确定腹部包块性质,院外口服SLE药物一段时间后复查腹部包块消失,确定其为高度肿大的腹腔淋巴结。结论SLE伴发不典型临床表现时,早期诊断、予以合理治疗可有效改善患者预后。

Objective To explore the atypical clinical manifestations of systemic lupus erythematosus(SLE),to identify early diagnosis,and to reduce missed diagnosis.Methods The clinical data of the patient with SLE and a large abdominal mass as a special manifestation treated at Zibo Central Hospital was analyzed;the relevant literatures were reviewed.Results The patient,a 29-year-old female,with fever and massive abdominal mass,showed no improvement after anti-tuberculosis treatment.After being diagnosed with SLE in Zibo Central Hospital,her conditions improved after hormonal shock and immunosuppressive agents.However,the nature of the abdominal mass could not be determined.After taking SLE drugs for some time,the abdominal mass disappeared and was determined as highly enlarged abdominal lymph nodes.Conclusion When SLE combined with atypical clinical manifestations,early diagnosis and rational treatment can effectively improve the prognosis.