J Korean Soc Emerg Med.
2012 Apr;23(2):284-287.
Extensive Enteritis with Rapid Onset of Massive Ascites as the Initial Presentation of Systemic Lupus Erythematosus
- Affiliations
-
- 1Department of Internal Medicine, Ulsan University Hospital, College of Medicine, University of Ulsan, Ulsan, Korea. choisw@uuh.ulsan.kr
- 2Department of Pathology, Ulsan University Hospital, College of Medicine, University of Ulsan, Ulsan, Korea.
- 3Department of Emergency Medicine, Ulsan University Hospital, College of Medicine, University of Ulsan, Ulsan, Korea.
Abstract
- Systemic lupus erythematosus (SLE) is a multisystemic autoimmune disorder with protean manifestations. However, compared with articular, cutaneous, or renal involvement, gastrointestinal symptoms are far less common and are particularly unusual for the initial presentation of SLE. Gastrointestinal manifestations range from mild nonspecific symptoms to serious life-threatening complications, such as mesenteric vasculitis, intestinal pseudoobstruction, acute pancreatitis, and protein-losing enteropathy. Therefore, in order to improve the prognosis, early diagnosis and timely treatment are important. We describe a 45-year-old female patient who presented with extensive enteritis and peritonitis as the initial manifestation of SLE. Symptoms at presentation included severe abdominal pain and rapid development of massive ascites. After administration of high-dose corticosteroid therapy, her symptoms showed prompt improvement.
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- A Case of Systemic Lupus Erythematosus with Ascites as the Initial Presenting Manifestation
- A Case of Lupus Enteritis That Developed during the Treatment of Systemic Lupus Erythematosus
- Relapsing lupus enteritis in systemic lupus erythematosus
- A Case of Systemic Lupus Erythematosus with Initial Clinical Presentation of Peritonitis
- Three Cases of Lupus enteritis: Response to Steroid Therapy
