內(nèi)科學(xué)系統(tǒng)性紅斑狼瘡於強(qiáng)(完整版)
【正文】 2. Anti doublestranded DNA antibody (dsDNA) ● specific ● activity ● strong association of lupus nephritis Smith antibody (Sm) ● marker antibody ● nonactivity antibody ● arterial\venous thrombosis ● pregnancy morbidity ● thrombocytopenia 5. Anti SSA SSB RNP(ribonucleoprotein) RF 6. Complement ● depressed C3\C4\CH50 ● activity 7. CT Xray ultrasound 八 .Diagnosis The 1982 Revised Criteria for Classification of SLE 1. Malar rash 2. Discoid rash 3. Photosensitivity 4. Oral ulcers 5. Arthritis 6. Serositis a) Pleuritis b) Pericarditis 7. Renal disorder a) Persistent proteinuria g/d or 3+ OR b)may be red cell, hemoglobin, granular, tubular, or mixed 8. Neurologic disorder 9. Hematologic disorder a) Hemolytic anemia OR b) Leukopenia 4,000 OR c) Lyphopenia 1,500 OR d)Thrombocytopenia 100,000
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