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Systemic lupus erythematosus with hemolytic anemia as an initial symptom
Author(s): 
Pages: 457-458
Year: Issue:  7
Journal: JOURNAL OF CLINICAL DERMATOLOGY

Keyword:  红斑狼疮系统性溶血性贫血自身免疫性抗体抗心磷脂;
Abstract: 报告1例以溶血性贫血为首发表现的系统性红斑狼疮(SLE).患者女,18岁.在出现SLE典型临床表现之前2年出现溶血性贫血症状,经Coombs试验确诊为自身免疫性溶血性贫血.回顾相关文献发现,以溶血性贫血为首发症状的SLE少见,且多伴有抗心磷脂抗体阳性,后者是否是导致溶血的直接原因目前仍有争议.该例患者将来可能出现继发性抗磷脂综合征的症状,如血栓形成、血小板减少、自发性流产等,应密切随访.
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