CAJ | 학술논문

患儿为学龄期女性,因发现肉眼血尿1d入院.入院后迅速完善检查,明确了系统性红斑狼疮诊断.治疗后病情好转,但病程中出现心脏杂音,行心脏彩超提示赘生物.为儿童罕见病例,经过会诊,诊断Libman-Sacks心内膜炎.总结:重视临床体检,注意病情的变化;重视多学科的合作.
환인위학령기녀성,인발현육안혈뇨1d입원.입원후신속완선검사,명학료계통성홍반랑창진단.치료후병정호전,단병정중출현심장잡음,행심장채초제시췌생물.위인동한견병례,경과회진,진단Libman-Sacks심내막염.총결:중시림상체검,주의병정적변화;중시다학과적합작.
Children of school age female,was admitted with gross hematuria for one day.Soon after admission perfect examination,a clear diagnosis of systemic lupus erythematosus.Condition improved after treatment,but the course of a heart murmur occurs,cardiac ultrasound show vegetation.It's rare case of children.After consultation,the diagnosis is Libman-Sacks endocarditis.Summary:more attention should be paid on physical examination,changes in the disease and multidisciplinary collaboration.