Analysis of the characteristics of hospitalized patients with systemic lupus erythematosus in Ningxia Hui Autonomous Region
10.3760/cma.j.issn.1007-7480.2014.07.009
- VernacularTitle:宁夏地区系统性红斑狼疮住院患者发病特点分析
- Author:
Ruijun ZHANG
;
Xiaofeng ZENG
;
Li WANG
;
Rong ZHU
;
Hong ZHU
- Publication Type:Journal Article
- Keywords:
Lupus erythematosus,systemic;
Signs and symptoms;
Prognosis;
Diagnostic errors
- From:
Chinese Journal of Rheumatology
2014;18(7):475-477
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the characteristics of hospitalized patients with systemic lupus erythematosus (SLE) in Ningxia Hui Autonomous Region,and to characterize the epidemiology of SLE.Methods The data of 184 patients admitted to Ningxia Medical College Hospital during January 2008 to December 2013 were retrospectively analyzed.The data analysis included the initial symptoms,system involvement and clinical situations.Chi-square test,t test,Mann-Whitney U test and Logistic analysis were used for statistical analysis.Results ① The ratio of male and female was 1∶9.8.The most common clinical symptoms was rash in 72 cases (39％),and followed by joint pain in 61 cases (33％),swelling in 28 cases (15％) and fatigue in 21 cases (11％).② Eighteen percent (33/184) patients were late-onset SLE patients.Compared with regular SLE patients,the interval was longer in late-onset SLE patients between clinical symptoms onset and the time when they saw the doctor.③ Blood and kidney were the most commonly affected organs.④ The highest diagnosis rate occurred in rheumatology department,the highest diagnosis rate occurred in the kidney department for patients with dropsy as starting symptom.Conclusion SLE primarily occurs in childbearing aged women.The reason of misdiagnosis of SLE is mainly due to the incorrect hospital selection for the first visit.Delayed diagnosis will lead to delay in the treatment.
