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亚急性皮肤型红斑狼疮 Subacute Cutaneous Lupus Erythematosus,SCLE
为介于系统性红斑狼疮与盘状红斑狼疮间的一个中间类型,主要侵犯皮肤,内脏损害少见。
诊断要点:
好发于中青年女性。皮损大多为环状或多环状浮肿性浸润性红斑,少数为红斑鳞屑性损害。皮损多见于颧颊部、上臂伸侧,也可见于躯干及手足背。患者对光敏感,可有发热、关节痛。 Ro(SSA)、La(SSB)抗体阳性为本病的血清学特点。
治疗要点:
应注意休息,避免日光照晒。口服小剂量糖皮质激素或羟氯喹、沙利度胺等。皮损可外用中效糖皮质激素。
![](https://epubservercos.yuewen.com/2D47EB/21846772801639806/epubprivate/OEBPS/Images/P10-2-1_13921.jpg?sign=1739450463-GXhFABMYoi1OEPfUICv88HylPagwLyQv-0-6dc4313dc9dd7ff386ab2ee688f06ea8)
图10-2-1 亚急性皮肤型红斑狼疮
![](https://epubservercos.yuewen.com/2D47EB/21846772801639806/epubprivate/OEBPS/Images/P10-2-2_13922.jpg?sign=1739450463-RnuPay2roLaWcMKwOWXM0rY8WyekL578-0-5fa7f0e5dc64637c67d33dc0d4ecbc06)
图10-2-2 亚急性皮肤型红斑狼疮
![](https://epubservercos.yuewen.com/2D47EB/21846772801639806/epubprivate/OEBPS/Images/P10-2-3_13923.jpg?sign=1739450463-sMvKj3tweKbKVj7vty5NSvajl4voGAiD-0-42fd299d3774736d637cbf157fa2145c)
图10-2-3 亚急性皮肤型红斑狼疮
![](https://epubservercos.yuewen.com/2D47EB/21846772801639806/epubprivate/OEBPS/Images/P10-2-4_13924.jpg?sign=1739450463-qVgmkkZMvVsexGq3IaFnSjxsmhEmEmS5-0-a0cd53b26661b0e4f0fa58fb4b08a7cf)
图10-2-4 亚急性皮肤型红斑狼疮
![](https://epubservercos.yuewen.com/2D47EB/21846772801639806/epubprivate/OEBPS/Images/P10-2-5_13926.jpg?sign=1739450463-hYenUUj1ZsY4PMaOvfupr9EQ2fcjRBgm-0-4344f5a76cd0c20ba382871f7a54830f)
图10-2-5 亚急性皮肤型红斑狼疮
![](https://epubservercos.yuewen.com/2D47EB/21846772801639806/epubprivate/OEBPS/Images/P10-2-6_13927.jpg?sign=1739450463-CiXVaRxs41fyzOq0gD1jTf65JlueG1By-0-ce151efbac4c42e7a9897893a31d2520)
图10-2-6 亚急性皮肤型红斑狼疮
![](https://epubservercos.yuewen.com/2D47EB/21846772801639806/epubprivate/OEBPS/Images/P10-2-7_13928.jpg?sign=1739450463-QK1vQ52hpKVMBFqKE0geqWpN0YftKejC-0-fe5189e424f8209fa3a3b7a1e976f3f9)
图10-2-7 亚急性皮肤型红斑狼疮
![](https://epubservercos.yuewen.com/2D47EB/21846772801639806/epubprivate/OEBPS/Images/P10-2-8_13929.jpg?sign=1739450463-sUIL9rTXWJXJr2gfMxInrIFsiVZHuCe6-0-ef37154b7b8dda4ad0608e4aa2ed2f87)
图10-2-8 亚急性皮肤型红斑狼疮