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Massive and painful ascites as a presenting manifestation of systemic lupus erythematosus flare: a case report and literature review / Ascitis dolorosa y masiva como forma de presentación de una reactivación lúpica: Presentación de un caso
Zhou, Lei; Ming Sun, Chen; Li Chen, Wen; Zhang, Heng; Wang, Ping; Wu, Jie.
  • Zhou, Lei; Huazhong University of Science and Technology. Tongji Medical College. The Central Hospital of Wuhan. Department of Gastroenterology. Wuhan. CN
  • Ming Sun, Chen; Huazhong University of Science and Technology. Tongji Medical College. The Central Hospital of Wuhan. Department of Gastroenterology. Wuhan. CN
  • Li Chen, Wen; Huazhong University of Science and Technology. Tongji Medical College. The Central Hospital of Wuhan. Department of Gastroenterology. Wuhan. CN
  • Zhang, Heng; Huazhong University of Science and Technology. Tongji Medical College. The Central Hospital of Wuhan. Department of Gastroenterology. Wuhan. CN
  • Wang, Ping; Huazhong University of Science and Technology. Tongji Medical College. The Central Hospital of Wuhan. Department of Gastroenterology. Wuhan. CN
  • Wu, Jie; Huazhong University of Science and Technology. Tongji Medical College. The Central Hospital of Wuhan. Department of Gastroenterology. Wuhan. CN
Rev. méd. Chile ; 142(2): 255-260, feb. 2014. ilus
Article in English | LILACS | ID: lil-710996
Responsible library: CL1.1
ABSTRACT
Lupus peritonitis (LP) is extremely rare. Acute LP is characterized by rapid onset of ascites and severe abdominal pain, in addition to other well-recognized clinical features of a general systemic lupus erythematosus (SLE) fare. Ascites associated with acute LP has been rarely reported as the prominent feature of a SLE fare. We report a 39-year-old woman who developed massive, painful ascites as the presenting manifestation of a SLE fare. Diagnostic workup ruled out the possibility of hepatic, cardiovascular, infectious, or malignant diseases, and confirmed the presence of a SLE fare. The patient was treated with methyl prednisolone and hydroxychloroquine resulting in dramatic improvement of her condition. During ambulatory follow up, she has remained asymptomatic up to the moment of this writing. Adrenal steroids and hydrocychloroquine may be useful for the management of SLE fares in patients with massive, painful ascites due to acute LP.
RESUMEN
La peritonitis lúpica es rara. El cuadro agudo se caracteriza por ascitis de comienzo rápido, dolor abdominal severo y otras manifestaciones de una recidiva de un lupus eritematoso sistémico (LES). Sólo ocasionalmente e ha informado que la ascitis y peritonitis lúpica sean las principales manifestaciones de una recidiva lúpica. Presentamos a una mujer de 39 años que presentó ascitis masiva y dolorosa como la primera manifestación de una reactivación lúpica. El estudio diagnóstico descartó problemas hepáticos, pulmonares, cardiacos, cáncer o infecciones y confirmó la reactivación lúpica. La paciente se trató con metilprednisolona y cloroquina, resultando en una mejoría dramática. Al momento de preparar este informe, la paciente permanece asintomática en control ambulatorio. Los corticoides y cloroquina pueden ser medicamentos útiles para el tratamiento de pacientes con ascitis dolorosa y masiva secundaria a peritonitis lúpica.
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Full text: Available Index: LILACS (Americas) Main subject: Peritonitis / Ascites / Lupus Erythematosus, Systemic Type of study: Case report Limits: Adult / Female / Humans Language: English Journal: Rev. méd. Chile Journal subject: Medicine Year: 2014 Type: Article Affiliation country: China Institution/Affiliation country: Huazhong University of Science and Technology/CN

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Full text: Available Index: LILACS (Americas) Main subject: Peritonitis / Ascites / Lupus Erythematosus, Systemic Type of study: Case report Limits: Adult / Female / Humans Language: English Journal: Rev. méd. Chile Journal subject: Medicine Year: 2014 Type: Article Affiliation country: China Institution/Affiliation country: Huazhong University of Science and Technology/CN