| Abdominal pain as the initial and sole clinical presenting feature of systemic lupus erythematosus. | |
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MedLine Citation:
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PMID: 12605248 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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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:
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Type: Case Reports; Journal Article |
Journal Detail:
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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:
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Created Date: 2003-02-26 Completed Date: 2003-05-22 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8807867 Medline TA: Can J Gastroenterol Country: Canada |
Other Details:
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Languages: eng Pagination: 111-3 Citation Subset: IM |
Affiliation:
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Department of Medicine, University of British Columbia, Vancouver, Canada. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Abdominal Pain
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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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