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題名 | Gastrointestinal Manifestations of Systemic Lupus Erythematosus in The Emergency Department: A Case Report=急診室紅斑性狼瘡病患的腸胃道表徵:病例報告 |
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作者姓名(中文) | 朱偉岳; 鄭聖文; 吳肇鑫; 陳永福; | 書刊名 | 臺灣急診醫學會醫誌 |
卷期 | 9:3 2007.09[民96.09] |
頁次 | 頁76-79 |
分類號 | 415.695 |
關鍵詞 | 紅斑性狼瘡; 胃腸血管炎; 急性腸胃炎; Systemic lupus erythematosus; Gastrointestinal vasculitis; Acute gastroenteritis; |
語文 | 英文(English) |
中文摘要 | 紅斑性狼瘡是一自體免疫疾病且好發於年輕女性,常侵犯於關節、皮膚、腎臟、神經、腹、胸腔、血液等。我們報告一位十五歲女性罹患持續性的腸胃功能異常,而最後被診斷為紅斑性狼瘡。針對紅斑性狼瘡病患,要評估其腹痛是很複雜的;若病人本身不知道有其疾病,而單以急性腸胃炎的症狀來表現,那是很危險而且容易誤診。由於診斷上困難,往往造成治療的延誤。對於年輕女性合併持續性的腸胃功能異常,紅斑性狼瘡必須列入考慮。 |
英文摘要 | Systemic lupus erythematosus (SLE) is an autoimmune disease which is common in young women. Itis characterized by joint, skin, renal, neurologic, peritoneal/Jpleural and hematologic involvement. We report on a case of persistent gastrointestinal dysfunction in a 15-year-old female and she was diagnosed as SLE finally. Evaluation of abdominal pain in SLE patients is complicated. Itis dangerous and easy to miss the diagnosis if the patient has unknown disease and presents with only acute gastroenteritis (AGE) symptoms. Definitive treatment is commonly delayed because of difficulty in diagnosis. SLE should be considered in young females with persistent gastrointestinal dysfunction. |
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