系统性红斑狼疮合并强直性脊柱炎一例（A case of systemic lupus erythematosus complicated with ankylosing spondylitis）.docVIP

系统性红斑狼疮合并强直性脊柱炎一例（A case of systemic lupus erythematosus complicated with ankylosing spondylitis） A case of systemic lupus erythematosus complicated with ankylosing spondylitis 2011-04-01 Wang Xiaoxia, Li Xiaofeng, Wang Laiyuan, Wang Caihong, Li Fang, Xu Ke Patients: female, 24 years old. Because of the pain between the broken back and the lumbago for 1 and a half years, the aggravation was accompanied by fever. 40 Yu Tian was admitted to the hospital. The patient had elevated blood pressure 2 weeks earlier, with low back pain and headaches after birth. The backyard found outside of urinary protein, occult blood, diagnosed as nephritis, which had intermittent fever, oral medicine, urine protein had disappeared, but the emergence of white blood cells, red blood cells were reduced. Before admission to the above symptoms, fever, body temperature up to 38.8 DEG C, and was associated with chills, left middle finger and index finger swelling of proximal interphalangeal joint. The course of the disease has alopecia, facial erythema, no oral ulcers, photosensitivity. There is pain in the heel and pain in the joints of the costal region. No significant family history. Physical examination: the body temperature is 38.5 degrees centigrade, the pulse is 100 times /min, the breath is 20 times /min, the blood pressure is 18/10, kPa. Brown hair, double buccal visible butterfly erythema, not involving the nasolabial sulcus, hands part visible finger nail erythema, submandibular lymph nodes, right axillary lymph nodes, both inguinal lymph nodes and 0.5 ~ 1 cm in size, soft, good activity. Chest corridor activity: 2.2 cm ( 2.5 cm), the sacroiliac joint compression test was positive, and the 4 word test was bilateral positive. Auxiliary examination: blood routine: white blood cell 2.9 * 109/L, hemoglobin 82 g/L, platelet 174 * 109/L. Urine routine: urine protein: ~ 24 h urine protein quantification: 4.14 g, CIC 70. Complement: C3, C4 normal, immunoglobulin: IgA, IgG, IgM are normal. R