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.
维普
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