CLINICAL OBSERVATION OF UNTREATED SYSTEMIC LUPUS ERYTHEMATOSUS WITH INFECTIOUS COMPLICATIONS AND FATAL OUTCOME
Rubrics: CLINICAL OBSERVATIONS
Authors:
1.
Tula State University
(medicinskiy institut )
, Russian Federation
, Russian Federation
Type:
Article
Pages:
from 33
to 36
Status:
Published
Received:
01.12.2020
Accepted:
01.12.2020
Published:
01.12.2020
Subject area:
UDK 61 Медицина. Охрана здоровья
Language:
Russian
Keywords:
systemic lupus erythematosus, clinical case, multiple organ failure.
Abstract (English):
Among rheumatic diseases, a special place is occupied by systemic lupus erythematosus (SLE), this is due to its variety of clinical nonspecific manifestations, which leads to diagnostic difficulties in the early stages.This article presents a clinical case of severe SLE, previously not diagnosed and untreated, with the rapid progression of multiple organ failure (damage to the lungs, cardiovascular system, kidneys), which led to death. Previously, the patient was treated in the oncology and surgical departments with an abscess of the omental bursa and steatopancreonecrosis, later she was hospitalized in the hematology department with three-growth pancytopenia and hemolytic anemia, and from there transferred to the rheumatology department. This clinical situation demonstrates the importance of timely diagnosis, diagnosis and treatment of SLE.
Among rheumatic diseases, a special place is occupied by systemic lupus erythematosus (SLE), this is due to its variety of clinical nonspecific manifestations, which leads to diagnostic difficulties in the early stages.This article presents a clinical case of severe SLE, previously not diagnosed and untreated, with the rapid progression of multiple organ failure (damage to the lungs, cardiovascular system, kidneys), which led to death. Previously, the patient was treated in the oncology and surgical departments with an abscess of the omental bursa and steatopancreonecrosis, later she was hospitalized in the hematology department with three-growth pancytopenia and hemolytic anemia, and from there transferred to the rheumatology department. This clinical situation demonstrates the importance of timely diagnosis, diagnosis and treatment of SLE.
Keywords:
systemic lupus erythematosus, clinical case, multiple organ failure.
systemic lupus erythematosus, clinical case, multiple organ failure.
1. Klyukvina NG. Sistemnaya krasnaya volchanka: mnogoobrazie form i variantov techeniya.Sovremennaya revmatologiya. 2011;5(4):25-30.
2. Rossiyskie klinicheskie rekomendacii. Revmatologiya /pod red. E.L. Nasonova. – M.:GEOTAR-Media, 2020.- 448 s.
3. Revmatologiya: rukovodstvo/pod red. E.L. Nasonova, V.A. Nasonovoy. – M.: GEOTAR-Media, 2008.- 720s.
