系统性红斑狼疮 (SLE)患者常常发热 ,其原因复杂 ,如处理不及时 ,可能造成严重不良后果。合并栗粒型肺结核时 ,由于临床表现缺乏特异性 ,肺部常无异常体征 ,易于漏诊、误诊 ,延误治疗。现报道我科收治的 3例SLE合并粟粒型肺结核如下。例 1　男性 ,30岁。以关节痛、发热 3个月 , Patients with systemic lupus erythematosus (SLE) often have fever, the reasons for which are complex and which may cause serious adverse consequences if not treated properly. In the case of chestnut-type tuberculosis, due to the lack of specificity of clinical manifestations, the lungs often have no abnormal signs and are easily misdiagnosed, misdiagnosed and delayed treatment. It is reported that our department treated 3 cases of SLE with miliary tuberculosis as follows. Example 1 male, 30 years old. To joint pain, fever 3 months,