Document Detail


Abdominal pain as the initial and sole clinical presenting feature of systemic lupus erythematosus.
MedLine Citation:
PMID:  12605248     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Classically, a diagnosis of systemic lupus erythematosus (SLE) is dependent on renal, rheumatological, cutaneous and neurological target organ damage with supporting serological markers. A previously healthy 26-year-old Japanese woman whose only manifestation of otherwise occult SLE was severe abdominal pain is reported. A computed tomographic scan of the abdomen revealed thickened loops of small bowel, endoscopic findings were nonspecific and jejunal biopsy revealed a nonspecific enteritis. Laboratory studies revealed lymphopenia, hypocomplementemia, a positive antinuclear antibody, a weakly positive anti-Smith and a strongly positive anti-double stranded DNA. There was a prompt symptomatic recovery with immunosuppressive therapy. The authors' experiences, and a review of the literature suggest that a diagnosis of SLE should be considered in young Asian women who present with significant but clinically enigmatic gastrointestinal illness.
Authors:
Henry V Chung; Alnoor Ramji; Jennifer E Davis; Sylvia Chang; Graham D Reid; Baljinder Salh; Hugh J Freeman; Eric M Yoshida
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Canadian journal of gastroenterology = Journal canadien de gastroenterologie     Volume:  17     ISSN:  0835-7900     ISO Abbreviation:  Can. J. Gastroenterol.     Publication Date:  2003 Feb 
Date Detail:
Created Date:  2003-02-26     Completed Date:  2003-05-22     Revised Date:  2014-01-17    
Medline Journal Info:
Nlm Unique ID:  8807867     Medline TA:  Can J Gastroenterol     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  111-3     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Abdominal Pain / etiology*
Adult
Duodenum / pathology
Female
Humans
Lupus Erythematosus, Systemic / complications,  diagnosis*,  pathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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