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以左眼睑下垂为首发症状的SLE一例并文献复习
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Abstract:
SLE起病隐匿,临床症状多样,早期症状往往不典型。本文报告1例以左眼睑下垂为首发症状的SLE诊治经过。该患者以左眼睑下垂为首发症状,头颅影像学检查未见异常,重症肌无力相关抗体检测阴性,行免疫学相关检查诊断SLE,后经肾上腺皮质激素治疗病情控制。该例的诊治提示,临床工作者应提高对免疫疾病的认识,早期诊断、早期治疗,对改善SLE患者的预后至关重要。
The onset of SLE is hidden, the clinical symptoms are various, and the early symptoms are often atypical. This paper reports the diagnosis and treatment of a case of SLE with left blepharoptosis as the first symptom. The patient had left blepharoptosis as the first symptom, no abnormality in cra-nial imaging examination and negative detection of myasthenia gravis-related antibodies. SLE was diagnosed by immunological examination and was controlled by corticosteroid treatment. The di-agnosis and treatment of this case suggest that clinical workers should improve their understand-ing of immune diseases, early diagnosis and early treatment are very important to improve the prognosis of patients with SLE.
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