以左眼睑下垂为首发症状的SLE一例并文献复习

A Case Report of SLE with Left Blepharoptosis as the First Symptom and Re-view of the Literature

摘要: SLE起病隐匿，临床症状多样，早期症状往往不典型。本文报告1例以左眼睑下垂为首发症状的SLE诊治经过。该患者以左眼睑下垂为首发症状，头颅影像学检查未见异常，重症肌无力相关抗体检测阴性，行免疫学相关检查诊断SLE，后经肾上腺皮质激素治疗病情控制。该例的诊治提示，临床工作者应提高对免疫疾病的认识，早期诊断、早期治疗，对改善SLE患者的预后至关重要。

Abstract: The onset of SLE is hidden, the clinical symptoms are various, and the early symptoms are often atypical. This paper reports the diagnosis and treatment of a case of SLE with left blepharoptosis as the first symptom. The patient had left blepharoptosis as the first symptom, no abnormality in cra-nial imaging examination and negative detection of myasthenia gravis-related antibodies. SLE was diagnosed by immunological examination and was controlled by corticosteroid treatment. The di-agnosis and treatment of this case suggest that clinical workers should improve their understand-ing of immune diseases, early diagnosis and early treatment are very important to improve the prognosis of patients with SLE.