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患者,女,21岁。因面部蝶形红斑伴脱发、关节痛、肢端雷诺现象1年余,步行入院。体温、脉搏、呼吸、血压正常,全身检查无异常。皮肤科情况:面部蝶形暗红色斑压之褪色,表面少许鳞屑,指趾末端及手背足底有同样损害,甲周红斑,头发稀疏。ANAl:80(+)斑点型,Anti-dsDNA(-),LEC(-).非曝光区皮肤LBT仅IgM(+),ESR及BUN正常,尿蛋白(-),诊断为SLE_。给予口服强的松40mg/d及对症治疗,一般情况好,无发热及关节痛。曾头痛两次,末次伴呕吐,疑中枢神经系统受累。住院第10日突然全身抽搐,持续约2分钟,神志不清,体温、脉搏、
Patient, female, 21 years old. Due to facial butterfly erythema with hair loss, joint pain, limb Renault phenomenon more than 1 year, walk admission. Body temperature, pulse, respiration, normal blood pressure, no abnormalities in the whole body examination. Dermatology: facial butterfly dark red spot pressure fade, the surface a little scale, the toe ends and the back of the hand have the same damage, erythema a week, thinning hair. Anti-dsDNA (-), LEC (-) ANAl: 80 (+) spots, non-exposed areas of the skin LBT only IgM (+), ESR and BUN normal, urinary protein (-), diagnosed as SLE_. Given oral prednisone 40mg / d and symptomatic treatment, the general situation is good, no fever and joint pain. Have a headache twice, the last with vomiting, suspected central nervous system involvement. Suddenly admitted to hospital on the 10th convulsions, lasted about 2 minutes, unconscious, body temperature, pulse,