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KMID : 0882420120820020252
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Korean Journal of Medicine
2012 Volume.82 No. 2 p.252 ~ p.256
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A Case of Systemic Lupus Erythematosus Presenting as a Large Rectosigmoid Ulcer
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Yoo In-Kyung
Yoo Seu-Hee
Choi Sung-Jae
Koo Ja-Seol
Lee Young-Ho
Ji Jong-Dae
Song Kwan-Kyu
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Abstract
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Systemic lupus erythematosus (SLE) is a multi-system inflammatory disorder that has many symptoms. Gastrointestinal symptoms are common, while colonic involvement in the form of ischemic colitis or a colonic ulcer is rare in SLE. The differential diagnosis of ischemic proctitis with ulceration includes an infected ulcer, ulcerative colitis, Crohn’s disease, solitary rectal ulcer colitis, malignant tumor, and lupus colitis. Here, we report a 22-year-old male with abdominal pain and diarrhea, who had a huge rectal ulcer that nearly obstructed the rectosigmoid junction. This turned out to be a rare gastrointestinal manifestation of lupus. He recovered after being treated with high-dose oral steroids. Our case demonstrates that a rectal ulcer is a rare, but important, complication of SLE and can be the initial clinical manifestation of the disease.
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KEYWORD
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Systemic lupus erythematosus, Proctitis, Ischemic colitis
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