狼疮性肾炎合并浆膜炎的临床特征
作者: |
1高竹梅,
1李延玲,
1吴淋淋,
1罗萍
1 吉林大学第二医院肾病内科,长春 130041 |
通讯: |
罗萍
Email: luopingjen@163.com |
DOI: | 10.3978/j.issn.2095-6959.2018.11.020 |
摘要
目的:探讨狼疮性肾炎合并浆膜炎患者临床及实验室指标特点。方法:选择2013年4月至2017年10月于吉林大学第二医院肾病内科住院的113例狼疮性肾炎患者,根据是否合并浆膜炎分为浆膜炎组(60例)及非浆膜炎组(53例),对比分析2组临床及实验室指标特点。结果:狼疮性肾炎患者浆膜炎患病率为53.10%;病理类型以IV+V型(41.67%)最常见,其次为IV型(33.33%);临床肾损害主要表现为肾病综合征(41.67%)。组间比较浆膜炎组更易合并血液系统损害,其中贫血最常见(85%),血浆白蛋白下降率、血肌酐升高率、血清胱抑素C升高率、抗SM抗体阳性率、c-ANCA阳性率、补体C3,C4下降率、24 h尿蛋白定量、SLEDIA评分也更高。结论:狼疮性肾炎合并浆膜炎提示患者疾病活动度高,早期诊断并启动治疗有重要的临床意义。
关键词:
狼疮性肾炎;狼疮性浆膜炎;疾病活动度
Clinical features of lupus nephritis with lupus serositis
CorrespondingAuthor: LUO Ping Email: luopingjen@163.com
DOI: 10.3978/j.issn.2095-6959.2018.11.020
Abstract
Objective: To investigate the clinical and laboratory characteristics of lupus nephritis with lupus serositis. Methods: A total of 113 patients of lupus nephritis who hospitalized in Department of Nephropathy of Second Hospital of Jilin University were divided into a serositis group (60 cases) and a non-serositis group (63 cases) according to whether complicated with lupus serositis. A comparative analysis of clinical and laboratory characteristics was performed between the two groups. Results: The prevalence of serositis in lupus nephritis was 53.10%. In the serositis group, the most common type of pathology was IV+V (41.67%), followed by type IV (33.33%), the most common clinical renal damage is nephrotic syndrome (41.67%). The hematological system damaged more common in the serositis group, among which anemia was most common (85%). There were differences between the two groups in Alb, anti-Sm, complement, Cys-C, Scr, urine protein, SLEDIA score. Conclusion: Lupus nephritis with lupus serositis suggests higher activity of the SLE. Early diagnosis and start treatment of systemic lupus erythematosus (SLE) have important clinical significance.
Keywords:
lupus nephritis; lupus serositis; disease activity