- 中国皮肤病性病图鉴(第3版)
- 朱学骏
- 256字
- 2021-12-13 16:20:56
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=1739396549-OqEf78AcaSvTz1UKXZeyR6HdTk7Jt7Ie-0-e4bb8e8d98941ee05498c2554dfafb84)
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=1739396549-XMzLq7cAwZNzIX4sLXQ7Mmpok91SL3rh-0-561d0933cdd4b5334d1ed6e7c1c99c5e)
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=1739396549-pSoDTnKxc63cR9IGMwe6OydGAlMHlBRP-0-534cc15450bdd2957b78ee76713b5c3e)
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=1739396549-lM84bhg1wzBg9ETDDUxr9Ysmnn34O9ui-0-79729ecdb3b330b7da7d31a7c42c5b64)
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=1739396549-FBye7HVhe1WzZ3yzTYOsdQ2CU84ezuOA-0-f731f1e4af4f043fe19d80ccb1aad4ed)
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=1739396549-LQJ1hwZ7jfas4XxW4Gh4QOpVSffo3Y2o-0-6d193ab9860e975d9cfed7056cb0cd54)
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=1739396549-1V4fWMtyTkng2qgj1ELOGZqjFG13skGK-0-2165796c1401181aa6fcc3efcd07687f)
图10-1-7 系统性红斑狼疮