女性,56岁,双手及双足肿胀3年。血压180/130mmHg面部皮肤无褶皱,口周有沟纹。尿蛋白(++)(1.9g/d),尿RBC25~30/HP,Hb10...

作者: rantiku 人气: - 评论: 0
问题 女性,56岁,双手及双足肿胀3年。血压180/130mmHg面部皮肤无褶皱,口周有沟纹。尿蛋白(++)(1.9g/d),尿RBC25~30/HP,Hb100g几,血BUN20.8mmol/L,ANA阳性。 确定诊断的免疫学指标是
选项 A.ANA B.抗SSA抗体 C.血清Cs D.抗RNP抗体 E.抗Scl-70抗体
答案 E
解析 老年女性,根据病例介绍及化验,检查为系统性硬化病确诊指标是抗Scl-70抗体(E)阳性当病人出现恶心呕吐、眼底出血时应考虑是硬皮病肾危象

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