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| 특발성 부종과 연관된 전신성 홍반성 낭창 1예 |
| 장세호 , 이규백 , 김대중 , 김윤구 , 오하영 |
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| Abstract |
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We report a 31-year-old woman admitted to our hospital with the cornplaints of generalized edema and 6 kg weight gain, which was unresponsive to conventional treatment, such as bed rest and diure- tics. There was no evidence of cardiac, hepatic, or renal diseases and initial diagnosis was idiopathic edema. Futher laboratory studies, however, disclosed positive Coombs' test, lymphopenia, hypocomplemen- temia, increased anti-ds DNA level, and results of fluorescent antinuclear antibody(FAiVA) and LE cell tests were positive. A kidney and a skin biopsy were performed and the diagnosis of SLE was then made, based on laboratory tests including immuno- logic test, skin and kidney biopsy. Therapy with systernic corticosteroids resulted in disappearence of edema which has not recurred for seven months after discharge. The diagnosis of SLE should be considered in menstruating women who has no evidence of cardiac, hepatic, or renal diseases. |
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