Acute onset of systemic lupus erythematosus with extensive gastrointestinal and genitourinary involvement.

作者: T-C Tan , GK-L Wansaicheong , BY-H Thong

DOI: 10.1177/0961203312455111

关键词:

摘要: Lupus enteritis may occur as an acute presentation of systemic lupus erythematosus (SLE), and is not uncommonly associated with uretero-cystitis and/or hydronephrosis. Extensive involvement the gastrointestinal tract from stomach to rectum in SLE uncommon. We describe a 22-year-old Chinese female who presented extensive genitourinary recovered following pulse intravenous methylprednisolone cyclophosphamide. A high index clinical suspicion required arrive at diagnosis where only manifestations are predominant, other clinical, haematological biochemical features absent.

参考文章(19)
Kaplan R, Miller Ai, Morton Re, Systemic lupus erythematosus: unusual presentation with gastric polyps and vasculitis. Southern Medical Journal. ,vol. 69, pp. 507- ,(1976)
S. D. Wexner, P. Reissman, Tiong-Ann Teoh, F. V. Lucas, E. G. Weiss, Gangrenous ischemic colitis of the rectum: a rare complication of systemic lupus erythematosus. The American Journal of Gastroenterology. ,vol. 89, pp. 2234- 2236 ,(1994)
Francesco Ciccia, Vito Rodolico, Giovanni Triolo, Nicola Alessi, Angelo Ferrante, Anna Rita Giardina, Massimo Galia, Successful intravenous immunoglobulin treatment for steroid-resistant eosinophilic enteritis in a patient with systemic lupus erythematosus. Clinical and Experimental Rheumatology. ,vol. 29, pp. 1018- 1020 ,(2011)
Hyun K Ha, Seung H Lee, Sung E Rha, Jee-H Kim, Jae Y Byun, Hyo K Lim, Jin W Chung, Jeong G Kim, Pyo N Kim, Moon-G Lee, Yong H Auh, None, Radiologic Features of Vasculitis Involving the Gastrointestinal Tract Radiographics. ,vol. 20, pp. 779- 794 ,(2000) , 10.1148/RADIOGRAPHICS.20.3.G00MC02779
P Chattopadhyay, C Abby Philips, D Dhua, S Saha, Systemic lupus erythematosus presenting as ischaemic proctitis. Lupus. ,vol. 20, pp. 653- 655 ,(2011) , 10.1177/0961203310386277
Yuji Nishizaki, Hiromichi Tamaki, Sonosuke Yukawa, Yukio Matsui, Masato Okada, Comparison between Japanese and non-Japanese features of lupus cystitis based on case reports including novel therapy and a literature review. Internal Medicine. ,vol. 50, pp. 961- 968 ,(2011) , 10.2169/INTERNALMEDICINE.50.4708
Hideyuki Hiraishi, Toshiro Konishi, Shinʼichi Ota, Tadahito Shimada, Akira Terano, Tsuneaki Sugimoto, Massive gastrointestinal hemorrhage in systemic lupus erythematosus: successful treatment with corticosteroid pulse therapy The American Journal of Gastroenterology. ,vol. 94, pp. 3349- 3353 ,(1999) , 10.1111/J.1572-0241.1999.01551.X
B. Grimbacher, M. Huber, J. von Kempis, P. Kalden, M. Uhl, G. Kohler, H. E. Blum, H. H. Peter, Successful treatment of gastrointestinal vasculitis due to systemic lupus erythematosus with intravenous pulse cyclophosphamide: a clinical case report and review of the literature. Rheumatology. ,vol. 37, pp. 1023- 1028 ,(1998) , 10.1093/RHEUMATOLOGY/37.9.1023
E Elinav, M Korem, Y Ofran, A Migdal, V Doviner, N Hiler, S Aamar, M Bursztyn, Hyperplastic gastropathy as a presenting manifestation of systemic lupus erythematosus. Lupus. ,vol. 13, pp. 60- 63 ,(2004) , 10.1191/0961203304LU465CR
F Al Balushi, F Humby, A Mahto, C Kelly, A Jawad, Mycophenolate mofetil inducing remission of lupus enteritis Lupus. ,vol. 21, pp. 556- 558 ,(2012) , 10.1177/0961203311430219