Özet:

Systemic lupus erythematosis (SLE) may begin with different clinical findings due to its heterogeneous character. Renal attitude has a negative impact on the prognosis. In this study, we aimed at comparing the patient groups with renal constipation and non-renal constipation by retrospective examination of the application information of the new SLE diagnosed patients in our center. In our clinic between 1986 and 1999, 70 patients diagnosed with SLE were registered with age, gender, clinical and laboratory findings during application. According to the American Collage of Rheumatology criteria, biopsy for histopathological evolution was taken from those with renal constipation. The symptoms, findings and laboratory data of patients with renal constipation and non-SLE were compared by groups in detail. The sexual distribution of patients with and without renal constipation and the beginning of the disease were similar to the age. Patients with arthralgia (67.1 percent), impotence (61.4 percent), anemia (54.3 percent) and photosensitivity (42.9 percent) were. 42 patients with renal stagnation were diagnosed with stage 3 and stage 4 lupus nefritis. The number of patients with discomfort and blindness was higher in the group with renal blindness. As a result of our study; although it has not reached statistical significance, the patient with clinically renal constipation has been observed with fewer skin, skeletal-muscular system and constitutional symptoms, while the hematological and gastrointestinal system has been observed with greater constipation. Therefore, we believe that it is necessary to conduct multi-centric prospective studies involving more patients on whether renal attitude is associated with other symptoms and findings.