Disseminated tuberculosis masquerading as a presentation of systemic lupus erythematosus

被引：9
作者：
Li, Justin C. -H. [1 ,2 ]
Fong, Warren [1 ,3 ,4 ]
Wijaya, Limin [3 ,4 ,5 ]
Leung, Ying Y. [1 ,3 ,4 ]
机构：
[1] Singapore Gen Hosp, Dept Rheumatol & Immunol, Singapore, Singapore
[2] Univ Hong Kong, Fac Med, Hong Kong, Hong Kong, Peoples R China
[3] Duke NUS Med Sch, Singapore, Singapore
[4] Natl Univ Singapore, Yong Loo Lin Sch Med, Dept Med, Singapore, Singapore
[5] Singapore Gen Hosp, Dept Infect Dis, Singapore, Singapore
来源：
INTERNATIONAL JOURNAL OF RHEUMATIC DISEASES | 2018年 / 21卷 / 01期
关键词：
systemic lupus erythematosus; tuberculosis; MILIARY TUBERCULOSIS; REVISED CRITERIA; INFECTION; CLASSIFICATION; DIAGNOSIS; PULMONARY; ADULTS;
D O I：
10.1111/1756-185X.13195
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Tuberculosis (TB) infection is the endemic in Asia-Pacific region. Miliary TB is a disseminated form which may present similarly as autoimmune conditions. Here we describe a 17-year-old girl who had miliary TB with manifestations mimicking new-onset systemic lupus erythematosus (SLE) including oral ulcers, serositis, cytopenia, proteinuria and raised autoantibody titers. Complex associations between SLE and TB are highlighted. High index of clinical suspicion for TB infection is needed upon presentations resembling immune diseases like SLE.
引用
收藏
页码：352 / 355
页数：4
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