- 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=1739648026-Hmkl401SCjwnu1l3pQeFuTijZsGU6hmc-0-410daeee79a977d7a2b49a8054628626)
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=1739648026-IP80ffzHiabJ1uIVLBUoY34h3cKotaSZ-0-cfef5f5ae90b5c7459bde14229803c8d)
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=1739648026-4FZGXocDTvkMAhVVxYBzBK5QVmkrVOQv-0-cd864874d166856ed6f28d221e80a06d)
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=1739648026-ikBc1QomlXDnTqQtexahc9Yx2O85jTJN-0-c4b2f9b866589fe66d98e3f2095d899e)
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=1739648026-FGq9x4GbN73n4KJygFDLTilL2Z1X5iQL-0-6b1f75d9240181e6ae46516ab6cd2ce9)
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=1739648026-B7XE9r3cEriaMgmD3X3H73B3BnK1bpSf-0-de0d20e9009da8c06bc2fc52fe2506db)
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=1739648026-2bKeuoN3sIMDVPZiCLk46Tw43H38DI1w-0-92e51703e799e354e2a8a1583ebeee36)
图10-1-7 系统性红斑狼疮