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SLE病人在无慢性实质性肺病变或肺栓塞的情况下出现肺动脉高压是罕见的。兹报导一例如下:患者女、22岁,3年前曾有手足部小关节炎史(1周后自然缓解),并有正常的第一次妊娠。入院前9月开始服用避孕药(Eugynon30)。入院时临床表现为重病容,呼吸困难,向心性紫绀,发热,有广泛血管炎性皮疹,右心肥厚和明显心衰,听诊可闻明显心包摩擦音。实验室检查:ESR76mm/h,LE细胞阳性,ANA1:80阳性,非暴光部位皮肤活检见有IgG
It is not uncommon for SLE patients to develop pulmonary hypertension in the absence of chronic substantive pulmonary disease or pulmonary embolism. Here is an example: A female patient, aged 22 years old, had a history of arthritis of the hand and foot 3 years ago (spontaneous remission after 1 week) with normal first pregnancy. Pregnancy taking pill (Eugynon30) started before September. Clinical manifestations at admission were seriously ill, dyspnea, concentric cyanosis, fever, extensive vascular inflammatory rash, right ventricular hypertrophy, and significant heart failure, auscultation may be evident conspicuous pericardial rubbing sound. Laboratory tests: ESR76mm / h, LE cell positive, ANA1: 80 positive, non-exposed parts of skin biopsy see IgG