Outcome of surgical resection for protein-losing enteropathy in systemic lupus erythematosus

被引:13
作者
Wang, Yuh-Feng [2 ,3 ,4 ]
Tseng, Kuo-Chih [5 ]
Chiu, Jainn-Shiun [2 ,3 ]
Chuang, Mei-Hua [6 ]
Chung, Mei-Ing [4 ]
Lai, Ning-Sheng [1 ,3 ]
机构
[1] Buddhist Dalin Tzu Chi Gen Hosp, Dept Internal Med, Div Rheumatol, Chiayi, Taiwan
[2] Buddhist Dalin Tzu Chi Gen Hosp, Dept Nucl Med, Chiayi, Taiwan
[3] Tzu Chi Univ, Coll Med, Hualien, Taiwan
[4] Kaohsiung Med Univ, Grad Inst Pharmaceut Sci, Kaohsiung, Taiwan
[5] Buddhist Dalin Tzu Chi Gen Hosp, Dept Internal Med, Div Gastroenterol, Chiayi, Taiwan
[6] Buddhist Dalin Tzu Chi Gen Hosp, Dept Pharm, Chiayi, Taiwan
关键词
albumin; protein-losing enteropathy; systemic lupus erythematosus; Tc-99m;
D O I
10.1007/s10067-008-0929-6
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Protein-losing enteropathy (PLE) is an uncommon manifestation associated with systemic lupus erythematosus (SLE). Here, a case with SLE and concomitant hypoalbuminemia is reported. Technetium-99m albumin scintigraphy demonstrated a localized lesion in the ascending colon, and the diagnosis of SLE-related PLE was established. Due to a poor response to medical treatment, this patient received surgical resection, but relapse still developed later on. Recurrent protein-lose from the remaining of the colon was documented by repeated images. This report discusses the management of SLE-related PLE and the role of nuclear medicine scintigraphy in the investigation of PLE.
引用
收藏
页码:1325 / 1328
页数:4
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