Analysis of Misdiagnosis and Pharmacological Monitoring of a Child with Systemic Lupus Erythematosus Complicated with Varicella Infection
MENG Yan
LIU Fujuan
GUO Jingxiao
Abstract：Objective To investigate the value of clinical pharmacists'participation in drug treatment of misdiagnosed children with systemic lupus erythematosus(SLE)complicated with varicella.Methods The clinical data of 1 SLE child with varicella were analyzed.Results One patient was misdiagnosed as gastroenteritis due to vomiting and intermittent low fe-ver in a local clinic,and the symptomatic treatment was not effective.Out-of-hospital misdiagnosis lasted more than one month.After admission,the patient was diagnosed with SLE,lupus nephritis,moderate anemia,and varicella through rele-vant examination.Antiviral therapy and glucocorticoid shock therapy were given.Clinical pharmacists participated in the eval-uation and adjustment of the treatment plan,with a focus on monitoring the efficacy and adverse reactions.The patient was discharged with stable condition at 27 d after treatment,and received regular outpatient follow-up,and the condition was sta-ble.Conclusion Pharmaceutical monitoring by clinical pharmacists can ensure the safety and effectiveness of glucocorticoid therapy in children,and provide individualized pharmaceutical services for severe SLE patients.
Keywords：Lupus erythematosussystemicChickenpoxMisdiagnosisGastroenteritisGlucocorticoidsAntiviral agentsPharmaceutical services
Publication Date：2024-12-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 24-27 )