A Case of Systemic Lupus Erythematosus Presenting with an Acute Abdomen: Successful Treatment with Steroid

Joint Authors

Fukatsu, Haruka
Ota, Seisuke
Sugiyama, Koichi
Kasahara, Akinori
Matsumura, Tadashi

Source

Case Reports in Medicine

Issue

Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-4, 4 p.

Publisher

Hindawi Publishing Corporation

Publication Date

2014-12-11

Country of Publication

Egypt

No. of Pages

4

Main Subjects

Medicine

Abstract EN

Abdominal pain continues to pose diagnostic challenges for emergency clinicians.

A 56-year-old Japanese woman was referred to our hospital due to severe abdominal pain which presented as occasional epigastric pain five months before and intermittent abdominal pain.

She had a past history of ileus twice, for both of which laparotomy was performed without an alimentary tract resection.

The wall thickening with marked three-wall structure from terminal ileum to sigmoid colon was seen and bladder wall was irregularly thick and enhanced irregularly.

Among the differential diagnosis of the acute abdomen, autoimmune diseases were suspected, especially lupus erythematosus and Henoch-Schönlein purpura.

On the second day of admission, abdominal pain worsened.

The results of examinations of antinuclear antibody, anti-double-stranded DNA antibody, ANCA, and the complements were not obtained at that time; however, we started 1-g steroid pulse treatment for three days with success.

With the results obtained later, the patient was given a diagnosis of probable systemic lupus erythematosus (SLE).

The present case shows that SLE can present with acute abdomen and should be included in the wide range of the differential diagnosis of acute abdomen.

American Psychological Association (APA)

Fukatsu, Haruka& Ota, Seisuke& Sugiyama, Koichi& Kasahara, Akinori& Matsumura, Tadashi. 2014. A Case of Systemic Lupus Erythematosus Presenting with an Acute Abdomen: Successful Treatment with Steroid. Case Reports in Medicine،Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-1017189

Modern Language Association (MLA)

Fukatsu, Haruka…[et al.]. A Case of Systemic Lupus Erythematosus Presenting with an Acute Abdomen: Successful Treatment with Steroid. Case Reports in Medicine No. 2014 (2014), pp.1-4.
https://search.emarefa.net/detail/BIM-1017189

American Medical Association (AMA)

Fukatsu, Haruka& Ota, Seisuke& Sugiyama, Koichi& Kasahara, Akinori& Matsumura, Tadashi. A Case of Systemic Lupus Erythematosus Presenting with an Acute Abdomen: Successful Treatment with Steroid. Case Reports in Medicine. 2014. Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-1017189

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references

Record ID

BIM-1017189