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Of a total of 1700 SLE patients from 1981 and 1997

were identified in our database, 700 patients (41.16%)

had hematuria. Episodes of isolated hematuria were

identified in 31patients (4.42%).

Out of the 31 patients in whom the isolated hema-

turia was the first documented renal manifestation, 11

patients (35.48%) went on to develop another renal

manifestation (3 patients (9.67%) with urinary cast and 8

patients (25.8%) with proteinuria). 54.54% (6/11) of

patients developed a different renal manifestation within

3 months of the detection of hematuria. The mean time

for development of a second renal manifestation for the

11 patients with isolated hematuria was 19.9 months.

Low serum complement levels were noted in 58.06%

(18/31) and high level double-stranded DNA antibodies

were noted in 67.74% (21/31) of patients with isolated

hematuria. We assessed the frequency of non-renal dis-

ease activity (defined as non-renal SLEDAI>0) in all

patients with isolated hematuria during the first three

months of presentation. Of 31 patients, 6 (19.3%) had

non-renal SLEDAI=0 and 25 (80.6%) had non-renal

SLEDAI>0. 9.6% (3/31) of patients had non-renal mani-

festations as SLEDAI>12. Nineteen patients with iso-

lated hematuria had a renal biopsy on detection of hema-

turia. None had normal glomeruli according to the WHO

criteria. 4 of the 19 patients (21.50%) who had renal

biopsies were noted to have WHO class II, 12 patients

(63.15%) had WHO class III, and 3 patients (15.78%)

had WHO class IV renal biopsy.

2 Answers

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  • 阿昌
    Lv 7
    10 years ago
    Favorite Answer

    從1981年和1997年的總共1700名SLE患者 在我們的數據庫中被辨認了, 700名患者(41.16%)有血尿。 被隔绝的血尿情節是 辨認在31patients (4.42%)。 在的31名患者外面被隔绝的hema- turia是首先被提供的腎臟顯示, 11名患者(35.48%)開发腎臟的別的 顯示(3名患者(9.67%)有泌尿塑像的和8名病人(25.8%)有蛋白尿)。 54.54% (6/11)患者在血尿的偵查的3個月内開发了不同的腎臟顯示。 第二腎臟顯示的發展的平均時間11名病人的有被隔绝的血尿是19.9月。 低血清補全水平在58.06%被注意了 (18/31)和高級雙股的脫氧核糖核酸抗體在67.74% (21/31)有被隔绝的血尿的病人中被注意了。 我們估計了非腎臟dis-舒適活動頻率(被定義成非腎臟SLEDAI> 0)在有被隔绝的血尿的所有病人在前三個月介紹期間。 31名患者, 6 (19.3%)有非腎臟SLEDAI=0和25 (80.6%)有非腎臟 SLEDAI> 0. 9.6% (3/31)患者有非腎臟mani- festations作為SLEDAI> 12. 有iso- lated血尿的十九名病人有在hema- turia的偵查的一個腎臟切片檢查法。 什么都沒有正常小球根據世界衛生組織標準。 有腎臟切片檢查法的4 19名患者(21.50%)被注意有世界衛生組織類II, 12名患者(63.15%)有世界衛生組織類III和3名患者(15.78%)有世界衛生組織類IV腎臟切片檢查法。

  • 10 years ago

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