Korean J Gastroenterol.  2019 May;73(5):299-302. 10.4166/kjg.2019.73.5.299.

Rectal Ulcer Developed in Systemic Lupus Erythematosus without Ischemic Colitis

Affiliations
  • 1Department of Internal Medicine, Wonkwang University School of Medicine, Iksan, Korea. medsgs@wonkwang.ac.kr
  • 2Department of Pathology, Wonkwang University School of Medicine, Iksan, Korea.

Abstract

Rectal involvement by systemic lupus erythematosus (SLE) is quite rare. Approximately 14 cases have been reported worldwide, but only one with ischemic colitis has been reported in Korea. A 17-year-old female patient was hospitalized with abdominal pain and hematochezia. Sigmoidoscopy revealed only a simple rectal ulcer without ischemic colitis. cytomegalovirus and bacterial infections were excluded. A sigmoidoscopic rectal biopsy indicated a rectal invasion by SLE, but the patient showed an acute worsening conditions that did not respond to treatment. This paper reports a case of rectal ulcer that developed in SLE without ischemic colitis with a review of the relevant literature.

Keyword

Lupus erythematosus, systemic; Rectal ulcer; Colitis, ischemic

MeSH Terms

Abdominal Pain
Adolescent
Bacterial Infections
Biopsy
Colitis, Ischemic*
Cytomegalovirus
Female
Gastrointestinal Hemorrhage
Humans
Korea
Lupus Erythematosus, Systemic*
Sigmoidoscopy
Ulcer*
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