Systemic lupus erythematosus associated with recurrent lupus enteritis and peritonitis

被引:28
作者
Kaneko, Y
Hirakata, M
Suwa, A
Satoh, S
Nojima, T
Ikeda, Y
Mimori, T
机构
[1] Keio Univ, Sch Med, Dept Internal Med, Shinjuku Ku, Tokyo 1608582, Japan
[2] Kyoto Univ, Grad Sch Med, Dept Clin Rheumatol & Immunol, Kyoto, Japan
关键词
computed tomography; enteritis; peritonitis; systemic lupus erythematosus; ultrasonography;
D O I
10.1007/s10067-004-0882-y
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We describe the case of a 41-year-old woman with systemic lupus erythematosus (SLE) who suffered from repeated reversible lupus enteritis characterized by marked edematous thickening of the small intestine. Ultrasonography (US) and computed tomography (CT) manifested as an 'accordion-like appearance' and a 'target-like appearance', respectively. Resolution of gastrointestinal tract wall thickening was observed on follow-up US performed a week after the increase in predinosolone (PSL). We conclude that careful evaluation of sonographic and radiographic findings helps to establish the diagnosis of lupus enteritis.
引用
收藏
页码:351 / 354
页数:4
相关论文
共 15 条
[1]   CT features of systemic lupus erythematosus in patients with acute abdominal pain: Emphasis on ischemic bowel disease [J].
Byun, JY ;
Ha, HK ;
Yu, SY ;
Min, JK ;
Park, SH ;
Kim, HY ;
Chun, KA ;
Choi, KH ;
Ko, BH ;
Shinn, KS .
RADIOLOGY, 1999, 211 (01) :203-209
[2]   Abdominal pain as the initial and sole clinical presenting feature of systemic lupus erythematosus [J].
Chung, HV ;
Ramji, A ;
Davis, JE ;
Chang, S ;
Reid, GD ;
Salh, B ;
Freeman, HJ ;
Yoshida, EM .
CANADIAN JOURNAL OF GASTROENTEROLOGY, 2003, 17 (02) :111-113
[3]  
Grimbacher B, 1998, BRIT J RHEUMATOL, V37, P1023
[4]   THE GASTROINTESTINAL MANIFESTATIONS OF SYSTEMIC LUPUS-ERYTHEMATOSUS - A REVIEW OF THE LITERATURE [J].
HOFFMAN, BI ;
KATZ, WA .
SEMINARS IN ARTHRITIS AND RHEUMATISM, 1980, 9 (04) :237-247
[5]  
Koh E T, 1992, Ann Acad Med Singap, V21, P833
[6]   Acute abdominal pain in systemic lupus erythematosus: focus on lupus enteritis (gastrointestinal vasculitis) [J].
Lee, CK ;
Ahn, MS ;
Lee, EY ;
Shin, JH ;
Cho, YS ;
Ha, HK ;
Yoo, B ;
Moon, HB .
ANNALS OF THE RHEUMATIC DISEASES, 2002, 61 (06) :547-550
[7]   Reversible acute gastrointestinal syndrome associated with active systemic lupus erythematosus in patients admitted to hospital [J].
Lian, TY ;
Edwards, CJ ;
Chan, SP ;
Chng, HH .
LUPUS, 2003, 12 (08) :612-616
[8]   Acute abdomen in systemic lupus erythematosus: The importance of early laparotomy [J].
Medina, F ;
Ayala, A ;
Jara, LJ ;
Becerra, M ;
Miranda, JM ;
Fraga, A .
AMERICAN JOURNAL OF MEDICINE, 1997, 103 (02) :100-105
[9]   MESENTERIC ARTERITIS IN SYSTEMIC LUPUS ERYTHEMATOSUS [J].
PHILLIPS, JC ;
HOWLAND, WJ .
JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1968, 206 (07) :1569-&
[10]  
Shiohira Y, 1993, Ryumachi, V33, P235