DOI: http://dx.doi.org/10.18203/2349-3933.ijam20214140

Lupus enteritis as a flare up of systemic lupus erythematosus- a case report and review

Niketha Janga, Jagadeesan M., Kavitha M. M., Kannan R.

Abstract


Systemic lupus erythematosus (SLE) generally affects young to middle-aged women, commonly presenting as a triad of fever, rash, and joint pain. Abdominal pain is a common symptom in patients with SLE. The leading causes of abdominal pain in SLE are lupus enteritis, pancreatitis, pseudo-obstruction, acalculous cholecystitis, mesenteric thrombosis, hepatic thrombosis, medications like (NSAIDS, MMF, steroids, HCQ), colon perforation. The incidence of abdominal pain in patients with SLE ranges from 8-40%, and the commonest cause is lupus enteritis. The following case describes a young woman presenting with lupus enteritis as a manifestation of SLE, the importance of early disease recognition, utilities of abdominal computed tomography (CT) in diagnosis, and current treatment protocols for lupus enteritis.

 


Keywords


SLE, Lupus enteritis, Abdominal pain

Full Text:

PDF

References


Seyyedmajidi M, Vafaeimanesh J. Severe, Recurrent Mesenteric Vasculitis as the Initial Presentation of Systemic Lupus Erythematosus. Zahedan J Res Med Sci. 2014;16(11):55-6.

Sran S, Sran M, Patel N, Anand P. Lupus enteritis as an initial presentation of systemic lupus erythematosus. Case Rep Gastrointest Med. 2014;2014:962735.

Sultan SM, Ioannou Y, Isenberg DA. A review of gastrointestinal manifestations of systemic lupus erythematosus. Rheumatol (Oxf). 1999;38:917-32.

Drenkard C, Villa AR, Reyes E. Vasculitis in systemic lupus erythematosus. Lupus. 1997;6:235-42.

Vitali C, Bencivelli W, Isenberg DA. Disease activity in systemic lupus erythematosus: report of the Consensus Study Group of the European Workshop for Rheumatology Research. I. A descriptive analysis of 704 European lupus patients. European Consensus Study Group for Disease Activity in SLE. Clin Exp Rheumatol. 1992;10:527-39.

Shapeero LG, Myers A, Oberkircher PE, Wallae TM. Acute reversible lupus vasculitis of the gastrointestinal tract. Radiology. 1974;112:569-74.

Ko SF, Lee TY, Cheng TT. CT findings at lupus mesenteric vasculitis. Acta Radiol. 1997;38:115-20.

Chng HH, Tan BE, Teh CL, Lian TY. Major gastrointestinal manifestations in lupus patients in Asia: lupus enteritis, intestinal pseudo-obstruction, and protein-losing gastroenteropathy. Lupus. 2010;19(12):1404-13.

Gonzalez A, Wadhwa V, Salomon F, Kaur J, Castro FJ. Lupus enteritis as the only active manifestation of systemic lupus erythematosus: A case report. World J Clin Cases. 2019;7(11):1315-22.

Smith LW, Petri M. Lupus enteritis: an uncommon manifestation of systemic lupus erythematosus. J Clin Rheumatol. 2013;19(2):84-6.

Ronen J A, Mekala A, Wiechmann C. A Flare-up of Systemic Lupus Erythematosus with Unusual Enteric Predominance. Cureus. 2020;12(2):e7068.