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干燥综合征与系统性红斑狼疮的鉴别诊断难点

[Difficulties in differential diagnosis of Sjögren's syndrome and systemic lupus erythematosus].

作者信息

Krawiec Piotr, Batko Bogdan, Skura Antoni, Adamek-Guzik Teresa, Cześnikiewicz-Guzik Marta, Krzanowski Marcin, Rydz-Stryszowska Iwona, Ryszawa Natalia, Guzik Tomasz J

机构信息

Małopolskie Centrum Reumatologii, Immunologii i Rehabilitacji Szpitala Specjalistycznego im. J. Dietla w Krakowie.

出版信息

Przegl Lek. 2006;63(5):278-83.

Abstract

Sjögren's Syndrome (SS) is the second most common autoimmune disorder after rheumatoid arthritis (RA). It can be found as a lone condition (primary Sjögren's Syndrome) or may accompany other autoimmune rheumatic diseases (secondary Sjögren's Syndrome). Despite such frequent occurrence, accurate diagnosis of Sjögren Syndrome is difficult. These difficulties result from highly variable symptoms of SS as well as from common presence of other autoimmune disorders. In the following article authors present current knowledge concerning clinical symptoms, diagnostic methods and latest clinical guidelines on the diagnosis of SS. Differential diagnosis of SS and systemic lupus erythematosus (SLE) is also discussed.

摘要

干燥综合征(SS)是仅次于类风湿关节炎(RA)的第二常见自身免疫性疾病。它可单独出现(原发性干燥综合征),也可能伴有其他自身免疫性风湿性疾病(继发性干燥综合征)。尽管发病率如此之高,但干燥综合征的准确诊断却很困难。这些困难源于干燥综合征症状的高度变异性以及其他自身免疫性疾病的普遍存在。在接下来的文章中,作者介绍了有关干燥综合征临床症状、诊断方法及最新诊断临床指南的现有知识。同时也讨论了干燥综合征与系统性红斑狼疮(SLE)的鉴别诊断。

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