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KMID : 0388220140210030140
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Journal of the Korean Rheumatism Association
2014 Volume.21 No. 3 p.140 ~ p.142
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A Case of Systemic Lupus Erythematosus Initially Presented with Acute Acalculous Cholecystitis
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Choi Yun-Jung
Yoon Ha-Yong
Jang Seol-A
Lee Won-Seok
Yoo Wan-Hee
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Abstract
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SLE is an autoimmune disease with multiorgan involve-ment and a wide range of clinical manifestations, and in-flammation 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 un-diagnosed lupus. We introduce a 70-year old female pa-tient, who is diagnosed with AAC. Her symptoms were sat-isfied the ACR classification criteria for SLE, and was di-agnosed with SLE, simultaneously. After a high dose ste-roid pulse therapy, followed by cyclophosphamide, her symptoms have improved rapidly. In order to better diag-nose and treat the disease, we need to be aware of AAC as a potential manifestation of SLE.
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KEYWORD
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Lupus, Cholecystitis
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