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Volume 44, Number 2, April 2011

Severe, recurrent lupus enteritis as the initial and only presentation of systemic lupus erythematosus in a middle-aged woman


Hsien-Ping Lin, Yao-Ming Wang, An-Ping Huo


Received: September 28, 2009    Revised: October 1, 2009    Accepted: December 21, 2009   

 

Corresponding author:

Division of Rheumatology and Immunology,
Department of Internal Medicine, Jen-Ai General Hospital,
483 Dong Rong Road Dali, Taichung, Taiwan.
E-mail address: antonio.aphuo@msa.hinet.net (A.-P. Huo).



 

Background and purpose: 

We describe a previously unreported condition of severe, recurrent lupus enteritis accompanied with severe hypocomplementemia as the initial and only presentation of systemic lupus erythematosus. Systemic lupus erythematosus should be suspected in any patient with computed tomography findings of enteral vasculitis or ischemic enteritis, even without lupus-related symptoms or signs; C3/C4 levels may be helpful in the differential diagnosis. If the symptoms do not improve after medical treatment, such as using steroid or cyclophosphamide pulse therapy, or necrosis and perforation of the intestines are highly suspected, surgical intervention should be considered.



 

Key words:

Hypocomplementemia, Ischemic enteritis, Lupus enteritis