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患者,男,29岁,主因间断皮肤红斑5年,颜面浮肿3个月,全身浮肿2个月于1993年5月12日入院。既往有双膝关节肿痛史7年。病期曾有日光照射后皮肤发红及水疱现象。入院时查体:T 36.8℃,BP19/13.5KPa,贫血貌,颜面浮肿。面部可见蝶形分布色素脱失斑,颈胸及双上肢等处皮肤亦可见多处斑片状色素脱失。心率88次/分,律规整,心音低钝。腹膨隆,腹壁水肿,腹水征阳性。双下肢Ⅱ°指凹性浮肿。实验室检查:Hb60g/L,WBC5.6×10~9/L,血小板50×10~9/L;尿蛋白+++,镜检少数颗粒管型,24小时尿蛋白定量17234mg;血肌酐195umol/L,空腹血糖4.1mmol/L;TTT6.5~u A/G22/34;血沉124毫米/
Patient, male, 29 years old, mainly due to intermittent skin erythema 5 years, facial edema 3 months, systemic edema 2 months in May 12, 1993 admission. Past history of double knee swelling and pain for 7 years. Illness had skin redness and blisters after sunlight exposure. Admission examination: T 36.8 ℃, BP19 / 13.5KPa, anemia appearance, facial edema. Visible butterfly-shaped facial depigmentation spots, neck and upper chest and other parts of the skin is also visible in many patchy pigmented loss. Heart rate 88 beats / min, law and order, low heart sound blunt. Abdominal bulging, abdominal wall edema, ascites sign positive. Lower limb Ⅱ ° refers to the concave edema. Laboratory tests: Hb60g / L, WBC5.6 × 10 ~ 9 / L, platelets 50 × 10 ~ 9 / L; urinary protein +++, microscopic tube microscopy tubular proteinuria 17234mg; serum creatinine 195umol / L, fasting blood glucose 4.1mmol / L; TTT6.5 ~ uA / G22 / 34; ESR 124mm /