The use of tacrolimus for recurrent lupus enteritis: A case report

被引:11
作者
Shirai T. [1 ]
Hirabayashi Y. [1 ]
Watanabe R. [1 ]
Tajima Y. [1 ]
Fujii H. [1 ]
Takasawa N. [1 ]
Ishii T. [1 ]
Harigae H. [1 ]
机构
[1] Department of Rheumatology and Hematology, Tohoku University Graduate School of Medicine, Seiryo-cho, Aoba-ku, Sendai
关键词
Systemic Lupus Erythematosus; Tacrolimus; Systemic Lupus Erythematosus Disease Activity Index; Capillary Leak Syndrome; Eosinophilic Gastroenteritis;
D O I
10.1186/1752-1947-4-150
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学科分类号
摘要
Introduction. Patients with lupus enteritis sometimes experience recurrence. In such cases, the addition of cyclophosphamide to the treatment regimen is recommended. However, an appropriate treatment has not been established in cases where cyclophosphamide failed to prevent the disease. Case presentation. An 18-year-old Japanese woman was admitted for a recurrence of lupus enteritis. One year before admission she was treated for lupus enteritis with high-dose corticosteroid together with intravenous cyclophosphamide pulse therapy. Upon admission, she was administered again with high-dose corticosteroid and her abdominal pain rapidly subsided. Tacrolimus was later used as an immunosuppressive agent and a complete remission has been maintained. Conclusion. Tacrolimus can be a useful agent for recurrent lupus enteritis that is resistant to conventional therapy. © 2010 Shirai et al; licensee BioMed Central Ltd.
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  • [1] Chung H.V., Ramji A., Davis J.E., Chang S., Reid G.D., Salh B., Freeman H.J., Yoshida E.M., Abdominal pain as the initial and sole clinical presenting feature of systemic lupus erythematosus, Can J Gastroenterol, 17, pp. 111-113, (2003)
  • [2] Byun J.Y., Ha H.K., Yu S.Y., Min J.K., Park S.H., Kim H.Y., Chun K.A., Choi K.H., Ko B.H., Shinn K.S., CT features of systemic lupus erythematosus in patients with acute abdominal pain: Emphasis on ischemic bowel disease, Radiol, 211, pp. 203-209, (1999)
  • [3] Kim Y.G., Ha H.K., Nah S.S., Lee C.K., Moon H.B., Yoo B., Acute abdominal pain in systemic lupus erythematosus: Factors contributing to recurrence of lupus enteritis, Ann Rheum Dis, 65, pp. 1537-1538, (2006)
  • [4] Grimbacher B., Successful treatment of gastrointestinal vasculitis due to systemic lupus erythematosus with intravenous pulse cyclophosphamide: A clinical case report and review of the literature, Br J Rheumatol, 37, pp. 1023-1028, (1998)
  • [5] Richer O., Ulinski T., Lemelle I., Ranchin B., Loirat C., Piette J.C., Pillet P., Quartier P., Salomon R., Bader-Meunier B., Abdominal manifestations in childhood-onset systemic lupus erythematosus, Annals of the Rheumatic Diseases, 66, 2, pp. 174-178, (2007)
  • [6] David S.H., Daniel J.W., Gastrointestinal and hepatic manifestations, Dubois' Lupus Erythematosus, pp. 829-847, (2007)
  • [7] Hizawa K., Iida M., Aoyagi K., Jo Y., Matsumoto T., Yao T., Yao T., Fujishima M., Double-contrast radiographic assessment of lupus-associated enteropathy, Clin Radiol, 53, pp. 825-829, (1998)
  • [8] Lee C.K., Ahn M.S., Lee E.Y., Shin J.H., Cho Y.S., Ha H.K., Yoo B., Moon H.B., Acute abdominal pain in systemic lupus erythematosus: Focus on lupus enteritis (gastrointestinal vasculitis), Ann Rheum Dis, 61, pp. 547-550, (2002)
  • [9] Sultan S.M., Ioannou Y., Isenberg D.A., A review of gastrointestinal manifestations of systemic lupus erythematosus, Rheumatology, 38, 10, pp. 917-932, (1999)
  • [10] Taourel P.G., Acute mesenteric ischemia: Diagnosis with contrast-enhanced CT, Radiol, 199, pp. 632-636, (1996)