不完全性系统性红斑狼疮。自己的观察和文献综述

T. Panafidina, T. Popkova, A. Lila, E. Nasonov
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摘要

不完全 "系统性红斑狼疮(iSLE)是指患者有典型的狼疮临床和免疫学症状,但不符合系统性红斑狼疮的分类标准。患者在确诊前数年就会出现自身抗体,最常见的临床表现是非特异性的,在一段时间内可能是疾病的唯一症状。5%-57%的 iSLE 患者会在 1-10 年内发展为明确的系统性红斑狼疮。目前还没有关于监测和治疗系统性红斑狼疮患者的建议。本文介绍了我们自己对系统性红斑狼疮的临床和病理问题进行研究和文献分析的结果。
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Incomplete systemic lupus erythematosus. Own observation and literature review
The term of “incomplete” systemic lupus erythematosus (iSLE) is used when patients have typical clinical and immunological signs of lupus without fulfilling the classification criteria for SLE. Autoantibodies appear in patients years before diagnosis, and the most common clinical manifestations are nonspecific and may be the only symptom of the disease for some time. Progression to definite SLE occurs in 5–57% of patients with iSLE within 1–10 years. There are currently no recommendations for monitoring and treatment of iSLE patients. This article presents the results of our own research and literature analysis on clinical and pathogenetic problems of iSLE.
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