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系统性红斑狼疮-希氏内科学教程(9)
 文章点击率: 栏目点击率: 作者:刘湘源 来自:风湿免疫科 时间:2008-9-25 
 
 

TABLE 289-9-- CONDITIONS ASSOCIATED WITH ANTINUCLEAR ANTIBODIES

Lupus erythematosus

Sjogren's syndrome

Rheumatoid arthritis

Juvenile arthritis

Leprosy

Infectious mononucleosis

Scleroderma

Liver disease

Primary pulmonary fibrosis

Vasculitis

Dermatomyositis/polymyositis

Mixed connective tissue disease

Mixed cryoglobulinemia

Aging

Medications


TABLE 289-10-- SYMPTOMS AND SIGNS SUGGESTING ACTIVE SYSTEMIC LUPUS ERYTHEMATOSUS

SYMPTOMS

SIGNS

Malaise

Anemia

Poor appetite

Leukopenia

Weight loss

Thrombocytopenia

Fatigue

Hematuria

Pallor

Pyuria

Abnormal menses

Proteinuria

Fever

Azotemia

Arthritis

ESR elevation

Seizures

Decreased complement (C3, C4, CH50)

Chest pain

Immune complexes

Edema

Anti-dsDNA

Hair loss

 

Oliguria

 

Rashes

 

Mouth sores

 

ESR = erythrocyte sedimentation rate.


TABLE 289-11-- TREATMENT OF SPECIFIC PROBLEMS IN LUPUS

Fever: NSAIDsantimalarialssteroids

Arthralgia/myalgia: NSAIDsacetaminophenamitriptyline

Arthritis: NSAIDsantimalarialssteroids (alternate day) or methotrexate

Rashes: Sunscreenstopical steroidsantimalarialsinjection

Oral ulcers: Antimalarials

Raynaud's: No smoking, caffeine, decongestantswarm clothingbiofeedback(long-acting) nifedipineprazosin

Serositis: Indomethacinsteroids

Pulmonary: Steroids

Hypertension: DiureticsACE inhibitorscalcium channel blockersbeta-blockersvasodilators

Thrombocytopenia/hemolytic anemia: SteroidsIV gamma-globulinimmunosuppressivessplenectomy

Renal disease: Steroidspulse steroidsimmunosuppressives

CNS disease

  Organic: Steroidsantiseizures drugsimmunosuppressives

  Functional: Antianxiety/antidepression drugs

NSAIDs = non-steroidal anti-inflammatory drugs; ACE = angiotensin-converting enzyme; CNS = central nervous system.


 
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