렙토스피 라증으로 오인된 전신홍반루푸스

• 영문명: A case of Systemic Lupus Eiythematosus Misdiagnosed as Leptospirosis
• 발행기관: 조선대학교 의학연구원
• 저자명: 하성일(Sung-Il Ha) 이재광(Jae-Kwang Lee) 김상현(Sang-Hyon Kim) 김동민(Dong-Min Kim)
• 간행물 정보: 『The Medical Journal of Chosun University』제32권 제3호, 106~110쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2007.10.31

영문 초록

Systemic Lupus Erythematosus (SLE) is autoimmune disorder involving systemic organs and characterized commonly by fatigue, fever, myalgia, and arthralgia. Leptospirosis is a kind of Korean hemorrhagic fever disease and characterized commonly from fever, headache, myalgia severly to jaundice, renal failure, and hemorrhage. A 60-year-old woman was presented with febrile sense, myalgia, headache and general weakness. Initially, she was diagnosed as leptospirosis by serological test. During treatment her clinical manifestation was not improved. On followed laboratory data, FANA positive with leukocytopenia and hemolytic anemia. Also anti-cardiolipin antibody, anti-dsDNA antibody and proteinuria was found. The serological titer of leptospirosis was not increased by four times. So, we concluded that she had SLE and prescribed steroids. After that, her clinical manifestations were improved. Therefore, we report here on a case of SLE misdiagnosed as leptospirosis.

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키워드

systemic lupus erythematosus leptospirosis