ISSN: 1859 - 2872
3 cases of enteritis in systemic lupus erythematosus
Main Article Content
Keywords
Lupus enteritis, systemic lupus erythematosus (SLE)
Abstract
Lupus enteritis is a rare manifestation of systemic lupus erythematosus (SLE). It is a difficult diagnosis, especially in the absence of clinical symptoms related to active SLE. Here we report some cases of lupus enteritis diagnosed based on clinical presentations, imaging examinations, and autoimmune workups. All these patients respond well to systemic corticosteroids.
Article Details
References
1. Sultan SM, Loannou Y, Isenberg DA (1990) A review of gastrointestinal manifestations of systemic lupus erythematosus. Rheumatology 8(10): 917-932.
2. Tian XP, Zhang X (2010) Gastrointestinal involvement in systemic lupus erythematous: Insight into pathogenensis, diagnosis and treatment. World J Gastroenterol 16(24): 2971-2977.
3. Hallegua DS, Wallace DJ (2000) Gastrointestinal manifestations of systemic lupus erythematosus. Curr Opin Rheumatol 12(5): 379-85.
4. Isenberg DA, Rahman A, Allen E et al (2005) BILAG 2004. Development and initial validation of an updated version of the British Isles Lupus Assessment Group's disease activity index for patients with systemic lupus erythematosus. Rheumatology (Oxford) 44: 902-906.
5. Lin HP, Wang YM, Huo AP (2011) Severe, recurrent lupus enteritis as the initial and only presentation of systemic lupus erythematosus in a middle-aged woman. Journal of Microbiology, Immunology and Infection 44: 152-155.
6. Janssens P, Arnaud L, Galicier L, Mathian A, Hie M, Sene D et al (2013) Lupus enteritis: From clinical findings to therapeutic management. Orphanet J Rare Dis 8: 67.
7. Lee CK, Ahn MS, Lee EY, Shin JH, Cho YS, Ha HK et al (2002) Acute abdominal pain in systemic lupus erythematosus: focus on lupus enteritis (gastrointestinal vasculitis). Ann Rheum Dis 61: 547-550.
8. Chung HV, Ramji A, Davis JE, Chang S, Reid GD, Salh B, Freeman HJ, Yoshida EM (2003) Abdominal pain as the initial and sole clinical presenting feature of systemic lupus erythematosus. Can J Gastroenterol 17(2): 111-113. doi: 10.1155/2003/768184.
9. Gonzalez A, Wadhwa V, Salomon F, Kaur J, Castro FJ (2019) Lupus enteritis as the only active manifestation of systemic lupus erythematosus: A case report. World J Clin Cases 7(11): 1315-1322 [PMID: 31236395 DOI: 10.12998/wjcc.v7.i11.1315].
10. Salehi-Abari I (2015) 2015 ACR/SLICC revised criteria for diagnosis of systemic lupus erythematosus. Autoimmune Dis Ther Approaches 2. dol:10.14437/ADTAOA-2-114.
11. Aringer M, Costenbader K, Daikh D et al (2019) 2019 EULAR/ACR classification criteria for systemic lupus erythematosus. Arthritis Rheumatol 71(9): 1400-1412. doi:10.1002/art.40930.
12. Assimakopoulos SF, Dimitropoulou D, Liossis SN (2008) Education and imaging. Gastrointestinal: intestinal vasculitis associated with systemic lupus erythematosus. J Gastroenterol Hepatol J 23(6): 992. doi: 10.1111/j.1440-1746.2008.05468.x..
13. Byun JY, Ha HK, Yu SY, Min JK, Park SH, Kim HY, Chun KA, Choi KH, Ko BH, Shinn KS (1999) CT features of systemic lupus erythematosus in patients with acute abdominal pain: emphasis on ischemic bowel disease. Radiology 211(1): 203-209. doi 10.1148/radiology.211.1.r99mr17203.
14. Kwok SK, Seo SH, Ju JH, Park KS, Yoon CH, Kim WU, Min JK, Park SH, Cho CS, Kim HY (2007) Lupus enteritis: clinical characteristics, risk factor for relapse and association with anti-endothelial cell antibody. Lupus, 16(10): 803-809. doi: 10.1177/0961203307082383.
15. Shirai T, Hirabayashi Y, Watanabe R, Tajima Y, Fujii H, Takasawa N, Ishii T, Harigae H (2010) The use of tacrolimus for recurrent lupus enteritis: A case report. Journal of Medical Case Reports 4: 150.
2. Tian XP, Zhang X (2010) Gastrointestinal involvement in systemic lupus erythematous: Insight into pathogenensis, diagnosis and treatment. World J Gastroenterol 16(24): 2971-2977.
3. Hallegua DS, Wallace DJ (2000) Gastrointestinal manifestations of systemic lupus erythematosus. Curr Opin Rheumatol 12(5): 379-85.
4. Isenberg DA, Rahman A, Allen E et al (2005) BILAG 2004. Development and initial validation of an updated version of the British Isles Lupus Assessment Group's disease activity index for patients with systemic lupus erythematosus. Rheumatology (Oxford) 44: 902-906.
5. Lin HP, Wang YM, Huo AP (2011) Severe, recurrent lupus enteritis as the initial and only presentation of systemic lupus erythematosus in a middle-aged woman. Journal of Microbiology, Immunology and Infection 44: 152-155.
6. Janssens P, Arnaud L, Galicier L, Mathian A, Hie M, Sene D et al (2013) Lupus enteritis: From clinical findings to therapeutic management. Orphanet J Rare Dis 8: 67.
7. Lee CK, Ahn MS, Lee EY, Shin JH, Cho YS, Ha HK et al (2002) Acute abdominal pain in systemic lupus erythematosus: focus on lupus enteritis (gastrointestinal vasculitis). Ann Rheum Dis 61: 547-550.
8. Chung HV, Ramji A, Davis JE, Chang S, Reid GD, Salh B, Freeman HJ, Yoshida EM (2003) Abdominal pain as the initial and sole clinical presenting feature of systemic lupus erythematosus. Can J Gastroenterol 17(2): 111-113. doi: 10.1155/2003/768184.
9. Gonzalez A, Wadhwa V, Salomon F, Kaur J, Castro FJ (2019) Lupus enteritis as the only active manifestation of systemic lupus erythematosus: A case report. World J Clin Cases 7(11): 1315-1322 [PMID: 31236395 DOI: 10.12998/wjcc.v7.i11.1315].
10. Salehi-Abari I (2015) 2015 ACR/SLICC revised criteria for diagnosis of systemic lupus erythematosus. Autoimmune Dis Ther Approaches 2. dol:10.14437/ADTAOA-2-114.
11. Aringer M, Costenbader K, Daikh D et al (2019) 2019 EULAR/ACR classification criteria for systemic lupus erythematosus. Arthritis Rheumatol 71(9): 1400-1412. doi:10.1002/art.40930.
12. Assimakopoulos SF, Dimitropoulou D, Liossis SN (2008) Education and imaging. Gastrointestinal: intestinal vasculitis associated with systemic lupus erythematosus. J Gastroenterol Hepatol J 23(6): 992. doi: 10.1111/j.1440-1746.2008.05468.x..
13. Byun JY, Ha HK, Yu SY, Min JK, Park SH, Kim HY, Chun KA, Choi KH, Ko BH, Shinn KS (1999) CT features of systemic lupus erythematosus in patients with acute abdominal pain: emphasis on ischemic bowel disease. Radiology 211(1): 203-209. doi 10.1148/radiology.211.1.r99mr17203.
14. Kwok SK, Seo SH, Ju JH, Park KS, Yoon CH, Kim WU, Min JK, Park SH, Cho CS, Kim HY (2007) Lupus enteritis: clinical characteristics, risk factor for relapse and association with anti-endothelial cell antibody. Lupus, 16(10): 803-809. doi: 10.1177/0961203307082383.
15. Shirai T, Hirabayashi Y, Watanabe R, Tajima Y, Fujii H, Takasawa N, Ishii T, Harigae H (2010) The use of tacrolimus for recurrent lupus enteritis: A case report. Journal of Medical Case Reports 4: 150.
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Published
Dec 1, 2022
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How to Cite
Thu HoàiM., Doãn KỳT., Cảnh BìnhN., Kim NgânH., Thị Ngà Đinh, Minh Ngọc QuangP., & Thị TuyếtD. (2022). 3 cases of enteritis in systemic lupus erythematosus. Tạp Chí Y Dược lâm sàng 108, 17(7). https://doi.org/10.52389/ydls.v17i7.1558