中国麻风皮肤病杂志 ›› 2022, Vol. 38 ›› Issue (3): 190-194.doi: 10.12144/zgmfskin202203190

• 综述 • 上一篇    下一篇

系统性红斑狼疮男性患者临床特征研究进展

李敏,夏育民   

  1. 西安交通大学第二附属医院皮肤科,陕西西安,710004
  • 出版日期:2022-03-15 发布日期:2022-01-05
  • 通讯作者: 夏育民,E-mail: xiayumin1202@163.com

Clinical characteristics of male patients with systemic lupus erythematosus

LI Min, XIA Yumin   

  1. Department of Dermatology, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, China
  • Online:2022-03-15 Published:2022-01-05
  • Contact: XIA Yumin, E-mail: xiayumin1202@163.com

摘要: 系统性红斑狼疮(SLE)是常见的自身免疫性疾病,女性SLE患病率明显高于男性,其临床特征存在性别差异。SLE男性患者临床表现谱与女性患者相似,但两者在受累器官、疾病严重程度、并发症及预后等方面存在差异,尤其SLE男性患者疾病严重程度和病死率明显高于女性患者。SLE男性患者治疗原则与女性相似,但在药物选择、累计剂量方面存在差异。本文对系统性红斑狼疮男性患者临床特征进行综述,以提高对男性SLE的早期识别与诊断能力。

关键词: 系统性红斑狼疮, 男性, 性别差异, 临床特征

Abstract:

Systemic lupus erythematosus (SLE) is a common autoimmune disease with gender bias in clinical characteristics. The prevalence of SLE in females is significantly higher than that in males. The male patients differ from those females in organ involvement, severity, complications and prognosis, although male and female patients have common typical clinical manifestations. It is accepted that the severity and mortality of SLE in males are significantly higher than those in females. The therapy of SLE in males is similar to SLE in females, whereas there are differences in pharmaceuticals selection, cumulative dose and reactivity. The update of clinical characteristics of male patients with systemic lupus erythematosus is reviwed in this paper in ordet to improve the early identification and diagnosis of SLE in males.

Key words: systemic lupus erythematosus, male, gender difference, clinical characteristics