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Extensive Enteritis with Rapid Onset of Massive Ascites as the Initial Presentation of Systemic Lupus Erythematosus
Journal of the Korean Society of Emergency Medicine ; : 284-287, 2012.
Article in Korean | WPRIM | ID: wpr-19465
ABSTRACT
Systemic lupus erythematosus (SLE) is a multisystemic autoimmune disorder with protean manifestations. However, compared with articular, cutaneous, or renal involvement, gastrointestinal symptoms are far less common and are particularly unusual for the initial presentation of SLE. Gastrointestinal manifestations range from mild nonspecific symptoms to serious life-threatening complications, such as mesenteric vasculitis, intestinal pseudoobstruction, acute pancreatitis, and protein-losing enteropathy. Therefore, in order to improve the prognosis, early diagnosis and timely treatment are important. We describe a 45-year-old female patient who presented with extensive enteritis and peritonitis as the initial manifestation of SLE. Symptoms at presentation included severe abdominal pain and rapid development of massive ascites. After administration of high-dose corticosteroid therapy, her symptoms showed prompt improvement.
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Full text: Available Index: WPRIM (Western Pacific) Main subject: Pancreatitis / Peritonitis / Prognosis / Protein-Losing Enteropathies / Ascites / Vasculitis / Intestinal Pseudo-Obstruction / Abdominal Pain / Early Diagnosis / Enteritis Type of study: Diagnostic study / Prognostic study / Screening study Limits: Female / Humans Language: Korean Journal: Journal of the Korean Society of Emergency Medicine Year: 2012 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Pancreatitis / Peritonitis / Prognosis / Protein-Losing Enteropathies / Ascites / Vasculitis / Intestinal Pseudo-Obstruction / Abdominal Pain / Early Diagnosis / Enteritis Type of study: Diagnostic study / Prognostic study / Screening study Limits: Female / Humans Language: Korean Journal: Journal of the Korean Society of Emergency Medicine Year: 2012 Type: Article