系统性红斑狼疮(SLE)是一种复杂的自身免疫性疾病,症状广泛。组织结合自身抗体和复杂的免疫复合物是对器官和细胞结构的初始损伤的原因。皮肤病学征象,尤其是数字坏疽和溃疡,在系统性红斑狼疮的背景下并不常见,并且经常出现在疾病的晚期。在这次讨论中,我们提出了一个不寻常的例子,在一个患有系统性红斑狼疮的年轻儿童中,早期发作的数字坏疽和溃疡。这是不寻常的,因为SLE主要见于成年患者,但是这里的病人是一个七岁的男孩,他去看医生,因为他的身体和脸上都有荨麻疹,皮肤脱皮,和零星的发烧。初步评估很难将这种表现与急性荨麻疹分开。然而,进一步的诊断测试和血清学分析证实了患者的SLE诊断。手指的远端区域出现了数字坏疽,溃疡,和血管炎.临床和血清学检查用于确认诊断。抗核抗体(ANA),抗核糖核蛋白(抗RNP)抗体,抗史密斯(抗SM)抗体,患者的抗干燥综合征相关抗原A(抗SS-A)抗体均为阳性。这个例子强调了在医疗实践中认识到SLE的异常和严重体征的迫切需要。
Systemic lupus erythematosus (SLE) is a complex autoimmune illness with a wide range of symptoms. Tissue-binding autoantibodies and intricate immune complexes are responsible for the initial damage to organs and cellular structures. Dermatological signs, particularly digital gangrene and ulcers, are uncommon in the context of systemic lupus erythematosus and often appear in the advanced stages of the disease. In this discussion, we present an unusual example of early-onset digital gangrene and ulcers in a young kid with systemic lupus erythematosus. It is unusual because SLE is mostly seen in adult patients, but here the patient is a seven-year-old boy who went to the doctor because he had urticarial rashes all over his body and face, skin desquamation, and sporadic fever episodes. The preliminary evaluation had difficulty separating this presentation from acute urticaria. However, further diagnostic testing and serological analysis confirmed the patient\'s SLE diagnosis. The distal regions of the fingers developed digital gangrene,
ulceration, and vasculitis. Clinical and serological tests were used to confirm the diagnosis. Antinuclear antibodies (ANA), anti-ribonuclear protein (Anti-RNP) antibodies, anti-Smith (Anti-Sm) antibodies, and anti-Sjögren\'s syndrome-related antigen A (Anti-SS-A) antibodies were all positive in the patient. This example emphasizes the critical need to recognize the unusual and severe signs of SLE in medical practice.