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红斑狼疮复发的症状有什么?怎么判断病情正在活动期?

2019-3-4 14:25| 发布者: admin| 查看: 4045| 评论: 152

简介:(1)自我感觉有无乏力、易疲劳。正常情况下,患者如出现较平时容易疲劳,经休息后没有明显改善,就应想到病情活动可能。 (2)关节(如近端指间关节、腕关节、膝关节、踝关节等)疼痛、红肿,可伴晨僵或有关节积液。 (3)新出 ...
    (1)自我感觉有无乏力、易疲劳。正常情况下,患者如出现较平时容易疲劳,经休息后没有明显改善,就应想到病情活动可能。

    (2)关节(如近端指间关节、腕关节、膝关节、踝关节等)疼痛、红肿,可伴晨僵或有关节积液。

    (3)新出现的皮疹(如颊部红斑、盘状红斑、冻疮样皮损、多形性红斑样皮损、血管炎性皮肤病变、甲周红斑等)或原有皮疹加重。

    (4)无上呼吸道感染及腹泻、尿频、尿急、尿痛等感染情况存在下,不明原因的发热或不明原因的红细胞沉降率明显增高。

红斑狼疮复发的症状有什么?怎么判断病情正在活动期?88 作者: 来源:


    (5)新出现或经常发作的口腔或鼻部溃疡。新出现的或经常发作的斑块状或弥漫性脱发。

    (6)胸膜炎症是盘状红斑狼疮患者最常见的肺部病变。患者常主诉胸痛,随呼吸运动或体位变换而加重。系统性红斑狼疮的心脏病变中,以心包炎最为常见。主要表现为胸骨后或心前区钝痛,或尖锐性胸痛,随呼吸、咳嗽或吞咽动作而加重,身体前倾时胸痛减轻。如果病程中出现以上情况,应去医院检查。

    (7)如果血常规检査发现白细胞、血小板、红细胞低于正常水平或尿常规中出现尿蛋白、红细胞,应考虑是否有疾病活动。

    (8)不明原因的腹泻、腹痛、恶心呕吐,经过抗感染及对症处理后没有好转,应考虑到是否有红斑狼疮性胃肠道活动存在。

    (9)如果盘状红斑狼疮患者出现幻觉、妄想、被控制感等思维障碍,轻躁狂、抑郁等精神症状,意识障碍、定向力障碍、计算不能等器质性脑病综合征及严重而持续的头痛、抽搐等,应考虑系统性红斑狼疮的中枢神经表现,应及早就诊。

    总之,要全面地判断了解自己病情的变化,定期去医院随访,配合医师积极治疗,这是盘状红斑狼疮治疗策略中很关键的一环。
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