A Case of Systemic Lupus Erythematosus Presenting as a Large Rectosigmoid Ulcer
- Author:
In Kyung YOO
1
;
Seu Hee YOO
;
Sungjae CHOI
;
Ja Seol KOO
;
Youngho LEE
;
Jongdae JI
;
Kwankyu SONG
Author Information
1. Division of Rheumatology, Department of Internal Medicine, Korea University Medical Center, Korea University College of Medicine, Seoul, Korea. csjmd888@korea.ac.kr
- Publication Type:Case Report
- Keywords:
Systemic lupus erythematosus;
Proctitis;
Ischemic colitis
- MeSH:
Abdominal Pain;
Colitis;
Colitis, Ischemic;
Colitis, Ulcerative;
Colon;
Crohn Disease;
Diagnosis, Differential;
Diarrhea;
Humans;
Lupus Erythematosus, Systemic;
Male;
Proctitis;
Steroids;
Ulcer;
Young Adult
- From:Korean Journal of Medicine
2012;82(2):252-256
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Systemic lupus erythematosus (SLE) is a multi-system inflammatory disorder that has many symptoms. Gastrointestinal symptoms are common, while colonic involvement in the form of ischemic colitis or a colonic ulcer is rare in SLE. The differential diagnosis of ischemic proctitis with ulceration includes an infected ulcer, ulcerative colitis, Crohn's disease, solitary rectal ulcer colitis, malignant tumor, and lupus colitis. Here, we report a 22-year-old male with abdominal pain and diarrhea, who had a huge rectal ulcer that nearly obstructed the rectosigmoid junction. This turned out to be a rare gastrointestinal manifestation of lupus. He recovered after being treated with high-dose oral steroids. Our case demonstrates that a rectal ulcer is a rare, but important, complication of SLE and can be the initial clinical manifestation of the disease.
