Rectal Ulcer Developed in Systemic Lupus Erythematosus without Ischemic Colitis
10.4166/kjg.2019.73.5.299
- Author:
Ki Chang SOHN
1
;
Won Gak HEO
;
Min Su CHU
;
Eui Joong KIM
;
Jong Hyeok CHUNG
;
Suck Chei CHOI
;
Ki Jung YUN
;
Geom Seog SEO
Author Information
1. Department of Internal Medicine, Wonkwang University School of Medicine, Iksan, Korea. medsgs@wonkwang.ac.kr
- Publication Type:Case Report
- Keywords:
Lupus erythematosus, systemic;
Rectal ulcer;
Colitis, ischemic
- MeSH:
Abdominal Pain;
Adolescent;
Bacterial Infections;
Biopsy;
Colitis, Ischemic;
Cytomegalovirus;
Female;
Gastrointestinal Hemorrhage;
Humans;
Korea;
Lupus Erythematosus, Systemic;
Sigmoidoscopy;
Ulcer
- From:The Korean Journal of Gastroenterology
2019;73(5):299-302
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Rectal involvement by systemic lupus erythematosus (SLE) is quite rare. Approximately 14 cases have been reported worldwide, but only one with ischemic colitis has been reported in Korea. A 17-year-old female patient was hospitalized with abdominal pain and hematochezia. Sigmoidoscopy revealed only a simple rectal ulcer without ischemic colitis. cytomegalovirus and bacterial infections were excluded. A sigmoidoscopic rectal biopsy indicated a rectal invasion by SLE, but the patient showed an acute worsening conditions that did not respond to treatment. This paper reports a case of rectal ulcer that developed in SLE without ischemic colitis with a review of the relevant literature.