A systemic lupus erythematosus patient with sudden dyspnea and disordered consciousness
10.3760/cma.j.cn141217-20221021-00439
- VernacularTitle:临床病例评析——系统性红斑狼疮患者突发喘憋 意识障碍
- Author:
Zhibo SONG
1
;
Xiaoning HAN
;
Zhe JIN
;
Jicheng LYU
;
Fan LI
;
Yan GENG
;
Zhuoli ZHANG
Author Information
1. 北京大学第一医院风湿免疫科，北京 100034
- Keywords:
Lupus erythematosus, systemic;
Lupus vasculitis, central nervous system;
Myocardium;
Thrombotic microangiopathies
- From:
Chinese Journal of Rheumatology
2022;26(12):807-812
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To improve the ability of identification and differential diagnosis of severe systemic lupus erythematosus (SLE).Methods:A severe SLE patient with lupus myocarditis, neuropsychiatric lupus, thrombotic microangiopathy (TMA) and other multiple system involvement was reported and discussed.Results:A young female patient developed albuminuria 5 months ago, edema of both lower limbs 3 months ago, change of consciousness 1 month ago and two convulsions attack 2 days ago. She experienced life threatening manifestations such as neuropsychiatric lupus, myocardial involvement of lupus, and TMA. During the course, her condition was generally improved after glucocorticoid pulse therapy and plasma exchange.Conclusion:Various complicated clinical manifestations related to SLE need to be recognized earlier and intervened as soon as possible.
