A Case of Systemic Lupus Erythematosus Initially Presented with Acute Acalculous Cholecystitis.
10.4078/jrd.2014.21.3.140
- Author:
Yun Jung CHOI
1
;
Ha Yong YOON
;
Seol A JANG
;
Myong Joo HONG
;
Won Seok LEE
;
Wan Hee YOO
Author Information
1. Division of Rheumatology, Department of Internal Medicine, Chonbuk National University Medical School and Research Institute of Clinical Medicine, Jeonju, Korea. ywhim@jbnu.ac.kr
- Publication Type:Case Report
- Keywords:
Lupus;
Cholecystitis
- MeSH:
Acalculous Cholecystitis*;
Autoimmune Diseases;
Cholecystitis;
Classification;
Cyclophosphamide;
Female;
Gallbladder;
Humans;
Inflammation;
Lupus Erythematosus, Systemic*
- From:Journal of Rheumatic Diseases
2014;21(3):140-142
- CountryRepublic of Korea
- Language:English
-
Abstract:
SLE is an autoimmune disease with multiorgan involvement and a wide range of clinical manifestations, and inflammation of gallbladder also can be represented. There were a few cases of acute acalculous cholecystitis (AAC) in previous reports. Most of them tended to already know about underlying SLE when detected AAC at that time. It may be difficult to detect AAC caused by SLE not due to biliary stone if physician is not conscious of undiagnosed lupus. We introduce a 70-year old female patient, who is diagnosed with AAC. Her symptoms were satisfied the ACR classification criteria for SLE, and was diagnosed with SLE, simultaneously. After a high dose steroid pulse therapy, followed by cyclophosphamide, her symptoms have improved rapidly. In order to better diagnose and treat the disease, we need to be aware of AAC as a potential manifestation of SLE.
