- 中国皮肤病性病图鉴(第3版)
- 朱学骏
- 11字
- 2021-12-13 16:20:55
第十章 结缔组织病
Connective Tissue Diseases
系统性红斑狼疮 Systemic Lupus Erythematosus,SLE
是侵犯皮肤和全身多脏器的一种自身免疫性疾病。
诊断要点:
多见于中青年女性。面部有蝶形红斑,手、足可有充血或出血斑,常伴雷诺征。患者光敏感,有肌肉、关节症状。可侵犯肾脏、心脏、肺脏和中枢神经系统,严重者威胁生命。实验室检查抗核抗体、Sm抗体等阳性。血白细胞总数低,尿中可有蛋白。
治疗要点:
应卧床休息,避免日光照晒。系统用糖皮质激素和/或免疫抑制剂,全身对症、支持治疗。
![](https://epubservercos.yuewen.com/2D47EB/21846772801639806/epubprivate/OEBPS/Images/P10-1-1_13914.jpg?sign=1739109887-pS64iIjqNR0pxL6FdqZCVgBoRJAgkwvQ-0-8df2fb4ad166c16e8ab4253bff72a2b3)
图10-1-1 系统性红斑狼疮
![](https://epubservercos.yuewen.com/2D47EB/21846772801639806/epubprivate/OEBPS/Images/P10-1-2_13912.jpg?sign=1739109887-q56rTbj5JC6aaej7qE7QH19lH9nCF0C7-0-0f47d9946f3ab30038ceadae3197a277)
图10-1-2 系统性红斑狼疮
![](https://epubservercos.yuewen.com/2D47EB/21846772801639806/epubprivate/OEBPS/Images/P10-1-3_13916.jpg?sign=1739109887-ak9iuCzwIlsmfIxHErgJvUH2gUuLK93U-0-b6164ded66ab9ed24a7e04ece214c96e)
图10-1-3 系统性红斑狼疮
![](https://epubservercos.yuewen.com/2D47EB/21846772801639806/epubprivate/OEBPS/Images/P10-1-4_13915.jpg?sign=1739109887-NdVYyhBFzQ0nso8SfHMl0JiWREShS6k5-0-8c0e1b23303ac8f5e659d4576acd5ee7)
图10-1-4 系统性红斑狼疮
![](https://epubservercos.yuewen.com/2D47EB/21846772801639806/epubprivate/OEBPS/Images/P10-1-5_13913.jpg?sign=1739109887-6KzHHQ01AKiahv85WWpryEqm357IfsqP-0-94e82215c074ec5546bb3001f3cffbb3)
图10-1-5 系统性红斑狼疮
![](https://epubservercos.yuewen.com/2D47EB/21846772801639806/epubprivate/OEBPS/Images/P10-1-6_13918.jpg?sign=1739109887-9Cil5FQnnev7qzlrXT2fu5a33eCZzfz5-0-1cc16aa03dfb48226827f00664131666)
图10-1-6 系统性红斑狼疮
![](https://epubservercos.yuewen.com/2D47EB/21846772801639806/epubprivate/OEBPS/Images/P10-1-7_13919.jpg?sign=1739109887-bLEnuWdfRYyqu0DPXm9TtgJhzMHRKj46-0-c5f7328dd0950fc2f6a8dd99ecc0e0d0)
图10-1-7 系统性红斑狼疮