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75-year-old grandmother, anemia for more than a decade, more recently dizzy can only sit in a wheelchair;
two cases that seem to be out of line with the wind, they were actually "attacked" by the same disease , systemic lupus erythematosus.
mention lupus, we always think of the face, body red marks, think it is a very "good recognition" of the disease, BUT! It's actually very "sly" and sometimes doesn't "show the dew" but frantically attacks your organs, "hiding" into something else, leading to delays in treatment.
come! Let's "scratch" it out! 75-year-old grandmother received blood supplement treatment but from moderate anemia into severe anemia 75-year-old Wang grandmother is Hangzhou Fuyang people, is more than a decade of "old anemia", although white blood cells and hemochrome indicators are below average year-on-year, but because there are no other special symptoms, it is intermittent medication, did not attract attention.
Beginning in early June this year, Wang grandmother's legs and feet like fermented dough, constantly "swelling" up, and feel the whole body weak, dizziness, gradually serious until bed every day, go out can only rely on wheelchairs.
should be the old problem of anemia.
" Wang grandmother's daughter Aunt Li took her to run several hospitals, the results are "anemia, white blood cell reduction", eat iron supplements, nutrients, hit "white needle" ... A series of operations down, Wang grandmother's dizziness symptoms not only did not reduce, leg and foot swelling more serious, and even blood test results show that white blood cells and hemochrome index is lower, from moderate anemia to severe anemia.
the condition has not improved, the local hospital also carried out two bone marrow punctures on Wang grandmother, want to find out the cause, but all failed.
more than a month of treatment, Wang grandmother's spirit is getting worse and worse, and even appeared depressed mood.
is not cured, it is not cured, it is not good anyway.
" that time, every time the nurse came to give Wang grandmother injections, she was angry.
"Mom may not get through this."
" looked at her mother so "suffering", Aunt Li sat outside Wang's grandmother's ward sad crying, with another patient's family saw in the ward, suggested that Aunt Li take her mother to Zhejiang University Medical College affiliated with the first hospital to see again.
the original TA is the real killer in early August, Aunt Li took Aunt Wang to the Jiang Hospital District of Zhejiang University Hospital, first hung up the number of the hematology department.
the doctor asked about the condition and looked at Wang grandmother's examination list, judged that Wang grandmother may be suffering from rheumatoid immunity disease, and the situation has been more critical, it is recommended that they immediately go to the rheummatology immunology department.
Li immediately hung up the expert number of Dr. Lin Jin, director of rheummatology immunology.
After blood testing, Wang grandmother's anti-nuclear antibodies, APS-related antibodies and many other rheumatoid indicators are positive, combined with patients many years ago had a "dry syndrome", has rich clinical experience lin Jin director told Aunt Li: "Your mother is suffering from systemic lupus erythematosus."
"" ah? Isn't this disease erythema? My mother doesn't have this symptom at all! "Aunt Li was very surprised.
" not all lupus will appear typical skin erythema, in essence, this is an autoimmune disease, the incidence of slow, very hidden, clinical manifestations of many changes, not necessarily erythema.
the disease, due to cellular and body fluid immune disorders, produces a variety of autoantibodies that attack the body's own systems and internal organs.
it attacks the blood system, causing a large amount of dissolution and destruction of red blood cells, which is the root cause of her mother's hemolytic anemia.
," Director Lin Jin explained in detail.
it is precisely because There are already a variety of antibodies in Grandma Wang's blood, and blood transfusion treatment of foreign allogeneic red blood cells into the blood circulation, but will stimulate the body's immune response, thereby aggravating the disease.
because Grandma Wang's condition has been very serious, on August 12, she was admitted to the Jiang Hospital District ward of Zhejiang University Hospital, began to receive appropriate amounts of hormones, immunoglobulin, immunosuppressants and other treatment.
"Soon, my mother's legs and feet were swollen, and the white blood cells and hemochrome indicators went up.
Li is very happy.
Now, Grandma Wang has been discharged from the hospital and returned home, because of the previous serious illness, is still on medication, and need regular review, but now she has been able to take the bus on her own, mental state is getting better and better.
really thank you, if you come early, find out the cause early, my mother may be better faster! "This disease is "too cunning" and some people have also recruited "in recent years, from our department visits, the number of patients with systemic lupus erythematosus is on the rise."
, deputy director of rheumatology immunology, said, "And because the disease attacks the whole body's immune system, in a variety of forms, it is prone to misdiagnosis."
" A few days ago I would see a 45-year-old female patient, at first she was weak hands and feet, numbness, and then the whole body joint pain, at first she thought it was an orthopaedic disease, and then thought it was a neurological disease, and finally after blood tests found a number of rheumatoid indicators positive, diagnosed with systemic lupus erythematosus.
" rheumatology immunology physician Xu Danyi said, "systemic lupus erythematosus can also attack the kidneys, lungs, heart and other organs, in the early stages of easy misdiagnosis."
systemic lupus, also known as "dreaded cancer", is slow in course, but can develop to life-threatening levels if treatment is delayed or not taken seriously due to misdiagnosis.
" systemic lupus can not be cured at present, but if detected in time and actively treated, can still be effectively controlled.
" Director Lin Jin reminded everyone, do not take it as a common skin disease, in addition to erythema, rash, systemic lupus patients may also appear the following symptoms1, fever, while prone to loss of appetite, limb weakness symptoms 2, often oral or nasal ulcers, as well as large areas of hair Shedding 3, joint, muscle pain 4, chest pain, and may be aggravated with breathing or physical changes, pleural inflammation is also one of the most common symptoms of systemic lupus erythematosus symptoms5, nervous system performance, lupus patients will show headache, paraplegia or seizures if any of the above symptoms should be vigilant.
addition, there are some patients wait until the kidney function is abnormal, the body appears edema before going to the doctor, usually if it is sudden edema, and more and more serious when do not take it lightly.
Systemic lupus patients daily health care points to control the disease, experts remind that systemic lupus patients in daily life should pay attention to the following points: pay attention to the diet system lupus patients often have energy metabolism disorders, patients have hypoproteinemia at the same time, some also have hyperlipidemia.
Therefore, the daily diet should pay attention to low fat, low sugar, low salt, eat less light-sensitive foods, such as mushrooms, celery and dates, appropriate intake of high-quality protein and vitamins, such as attention to sun protection UV exposure easy to aggravate the damage to the patient's skin, therefore, patients should go out to do a good job of sun protection, such as: wearing long sleeves, wearing hats, umbrellas, sunscreen, etc., while paying attention to avoid hot hair, reduce skin irritation Patients with systemic lupus erythematosus are usually immunodeficiency, easy to co-infect, so that the disease repeatedly or aggravated the disease xiaofei man Source: Zhejiang University Hospital Copyright Notice: All the text, pictures and audio and video materials noted on this website "Source: Mets Medicine" or "Source: MedSci Originals" are owned by Metz Medical, not authorized, any media, website or individual may not be reproduced, authorized to reproduce the words, pictures and audio and video materials, copyright belongs to Meis Medical, not authorized, any media, website or individual shall indicate "Source: Meis Medicine".
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