Three Cases of Lupus enteritis: Response to Steroid Therapy.
- Author:
Sun Dae KWON
;
Tae He LEE
;
Jin Kyung KWON
;
Sung Bae PARK
;
Hyun Chul KIM
- Publication Type:Case Report
- Keywords:
Lupus enteritis;
Mesenteric vasculitis;
Systemic lupus erythematosus
- MeSH:
Abdominal Pain;
Anorexia;
Barium;
Diarrhea;
Early Diagnosis;
Enteritis*;
Gastrointestinal Tract;
Hemorrhage;
Humans;
Lupus Erythematosus, Systemic;
Mortality;
Nausea;
Vasculitis
- From:The Journal of the Korean Rheumatism Association
1997;4(2):155-161
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Systemic lupus erythematosus is a systemic disorder which has frequent involvement of gastrointestinal tract. Non specific symptoms such as anorexia, nausea, diarrhea and abdominal pain are well known symptoms when the gastrointestinal tract is involved. The most feared gastrointestinal complication of systemic lupus erythematosus is lupus enteritis. The pathological change in lupus enteritis is usually a result of mesenteric vasculitis. Major complications such as intestinal bleeding and perforation may occur and sometimes result in sugery. Because of high mortality rate in case of major complications, early diagnosis and appropriate treatment is very important. We experienced three patients with lupus enteritis who presented with severe abdominal pain and dirrhea. They were diagnosed by characteristic radiographical findings of small bowel series and barium study. All radiographical findings has been resolved completely with the steroid therapy. Conclusively we can induce complete remission by steroid therapy alone, if we diagnose lupus enteritis in the early period of disease course.
