Manifestaciones gastrointestinales en Lupus Eritematoso Sistémico: un espectro diferente / Gastrointestinal manifestations in Lupus Erythematosus Systemic: a different spectrum

Presentamos el caso de escolar femenina, que debuta con colecistitis y pancreatitis aguda como manifestación inicial del lupus eritematoso sistémico. Consulta por ebre de origen por determinar e hiporexia. Por la persistencia de la fiebre, pérdida de peso y manifestaciones sistémicas se sospecha de una Enfermedad Autoinmune, con rmando el diagnóstico de LES con ANA y antiDNA positivos

We present the case of a school-aged female, who presents with acute cholecystitis and acute pancreatitis as the initial manifestation of systemic lupus erythematosus. She consults with fever of unknown origin and hyporexia. Due to persistent fever, weight loss and systemic manifestations, Autoimmune Disease is suspected, confirming the diagnosis of SLE with positive ANA and anti-DNA with which the diagnosis of SLE was made

Serum 25-hydroxyvitamin D and anti-vita min D status in new cases of systemic lupus erythematosus patients and their clinical significance / 中华风湿病学杂志

Objective The aim of this study was to detect the serum 25-hydroxyvitamin D (25-OH-D)and anti-vitamin D levels in new cases of systemic lupus erythematosus (SLE),and to investigate their clinical significance.Methods Fifty patients who fulfilled the ACR criteria for the classification of SLE and 36 healthy donors were included.Enzyme-linked immunosorbent assay was performed for serum 25 [OH] D and anti-vitamin D level measurement.Statistical methods used were t-test and Pearson's correalation analysis.Results The serum 25-OH-D level in SLE was (13±6) ng/ml,and the level in healthy donors wase (17±8)ng/ml,P =0.007); the difference was statistically significant.A significant negative correlation was demonstrated between the serum level of vitamin D and the 24 h urinary protein excretion (r=-0.314,P＜0.01),and the level of serum creatinine (r=-0.322,P＜0.01).Anti-vitamin D antibody was detected in 6 of 50 patients with SLE,in 10 of 36 sera from healthy donors.There was no difference of 25-OH-D level between the anti-vitamin D antibody positive group and anti-vitamin D antibodu negative group [(13±6) and (14±6) ng/ml in the SLE group; (17±6) and (18±9) ng/ml in the healthy control group].Conclusion The serum 25-OH-D level in SLE is low; however,it is not correlated with Anti-vitamin D antibody,but is correlated with renal lesions.So the serum 25-OH-D level may be important in the pathogenesis of SLE.

Some clinical features of patients with erythomatosus systemic lupus

Studying some clinical feature of 85 patients with erythematosus systemic lupus showed that the early and frequent symptoms were essential persistent fever (95.29%), tired and weight loss (91.76%), alopecia (84.7%), menstruation disorder (52.56%). The symptoms were evaluated according to the diagnostic standards of arthropathy association of America including underformity arthritis (92.84%), facial rash (82.35%), renal lesion (71.75%), and discoid rash in the body (38.82%), oral mucosal ulceration (22.35%), multimembraine inflammatory (21.17%) and psychotic disorder (7.05%).