Volume 21 Issue 10
Oct.  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(10): 1810-1812
CHEN Shangtao, LIU Feng, LI Shuangqing. Systemic lupus erythematosus with joint involvement as the first symptom: A case report[J]. Chinese Journal of General Practice, 2023, 21(10): 1810-1812. doi: 10.16766/j.cnki.issn.1674-4152.003230
Citation: CHEN Shangtao, LIU Feng, LI Shuangqing. Systemic lupus erythematosus with joint involvement as the first symptom: A case report[J]. Chinese Journal of General Practice, 2023, 21(10): 1810-1812. doi: 10.16766/j.cnki.issn.1674-4152.003230
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Systemic lupus erythematosus with joint involvement as the first symptom: A case report

doi: 10.16766/j.cnki.issn.1674-4152.003230

  • Department of General Practice, West China Hospital of Sichuan University, Chengdu, Sichuan 610041, China

  • Received Date: 2022-09-19
    Available Online: 2023-11-23
    Abstract
  • This paper reported a 67-year-old male patient with a history of lumbar and knee pain for more than 5 years, and no cause was found after various relevant examinations in multiple medical institutions, only with symptomatic pain relief and rehabilitation treatment, the symptoms were not significantly relieved. After admission, skin lesions on both hands and positive antinuclear antibody were found, systemic lupus erythematosus was considered. After the improvement of relevant examinations, the diagnosis was confirmed, after targeted treatment, the patient improved and was discharged. This case suggests that the onset of systemic lupus erythematosus can be insidious, lacking typical manifestations, and it is difficult to make a diagnosis of systemic lupus erythematosus with joint involvement as the initial symptom. It is suggested that clinicians should screen for immune system diseases according to the situation in the face of atypical joint symptoms for early detection, early diagnosis and early treatment.

     

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