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KMID : 0614620190730050299
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Korean Journal of Gastroenterology
2019 Volume.73 No. 5 p.299 ~ p.302
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Rectal Ulcer Developed in Systemic Lupus Erythematosus without Ischemic Colitis
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Sohn Ki-Chang
Heo Won-Gak
Chu Min-Su
Kim Eui-Joong
Chung Jong-Hyeok
Choi Suck-Chei
Yun Ki-Jung
Seo Geom-Seog
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Abstract
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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.
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KEYWORD
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Lupus erythematosus, systemic, Rectal ulcer, Colitis, ischemic
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