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膠原病??

膠原病??

・膠原病で発熱といえば…
RA、血管炎、SLE をまず考える

・血管炎
ANCAよりbiopsy。ANCAは7割くらいの感度。
ウェゲナーには感度9割だけれど、日本には少ない

・強膜炎+顔面痙攣 →サルコイドーシスを

・強膜炎
薄くなって黒く抜ける

・顔面痙攣 チック?
→神経炎 Still

・紫斑
Biopsy

・Still

・結膜炎
シェーグレン??  シルマー


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