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KMID : 0385920120230020284
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Journal of the Korean Society of Emergency Medicine
2012 Volume.23 No. 2 p.284 ~ p.287
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Extensive Enteritis with Rapid Onset of Massive Ascites as the Initial Presentation of Systemic Lupus Erythematosus
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Bae Joong-Gi
Chung Hyun-Chul
Choi Seung-Won
Park Bong-Hee
Kim Sun-Hyu
Hong Eun-Seok
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Abstract
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Systemic lupus erythematosus (SLE) is a multisystemic autoimmune disorder with protean manifestations. However, compared with articular, cutaneous, or renal involvement, gastrointestinal symptoms are far less common and are particularly unusual for the initial presentation of SLE. Gastrointestinal manifestations range from mild nonspecific symptoms to serious life-threatening complications, such as mesenteric vasculitis, intestinal pseudoobstruction, acute pancreatitis, and protein-losing enteropathy. Therefore, in order to improve the prognosis, early diagnosis and timely treatment are important. We describe a 45-year-old female patient who presented with extensive enteritis and peritonitis as the initial manifestation of SLE. Symptoms at presentation included severe abdominal pain and rapid development of massive ascites. After administration of high-dose corticosteroid therapy, her symptoms showed prompt improvement.
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KEYWORD
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Systemic Lupus erythematosus, Enteritis, Peritonitis, Acute abdomen
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