Systemic lupus erithematosus (SLE) is an autoimmune disease with multiorgan involvement caused principally by vasculitis of small vessels. The gastrointestinal tract is one of the most frequently affected by SLE, with abdominal pain as the most common symptom. An early diagnosis and treatment of lupus enteritis is essential to avoid complications like hemorrhage or perforation, with up to 50 % of mortality rate. However, differential diagnosis sometimes is difficult, especially with other types of gastrointestinal diseases as digestive involvement of antiphospholipid syndrome (APS), moreover when both entities may coexist. We describe the case of a patient with both diseases that was diagnosed with lupus enteritis and treated with steroid therapy; the patient had an excellent response.
Abdomen, Acute/diagnosis , Abdomen, Acute/therapy , Antiphospholipid Syndrome/complications , Lupus Erythematosus, Systemic/complications , Abdomen, Acute/etiology , Anti-Inflammatory Agents/therapeutic use , Early Diagnosis , Female , Humans , Middle Aged , Steroids/therapeutic use
El lupus eritematoso sistémico es una enfermedad autoinmune con afectación multivisceral causada principalmente por vasculitis de pequeño vaso. El tracto gastrointestinal es uno de los órganos más frecuentemente afectados, siendo el dolor abdominal el síntoma predominante. La enteritis lúpica requiere un diagnóstico y tratamiento precoces para evitar complicaciones como la hemorragia digestiva y la perforación intestinal, que pueden alcanzar una mortalidad de hasta el 50 %. Su diagnóstico a veces se ve dificultado por la presencia de otras patologías con afectación gastrointestinal similar como ocurre en el síndrome antifosfolípido. Presentamos el caso de una paciente con ambas enfermedades que fue diagnosticada de enteritis lúpica y tratada de forma conservadora con terapia corticoidea de choque. La paciente tuvo una respuesta excelente al tratamiento
Systemic lupus erithematosus (SLE) is an autoimmune disease with multiorgan involvement caused principally by vasculitis of small vessels. The gastrointestinal tract is one of the most frequently affected by SLE, with abdominal pain as the most common symptom. An early diagnosis and treatment of lupus enteritis is essential to avoid complications like hemorrhage or perforation, with up to 50 % of mortality rate. However, differential diagnosis sometimes is difficult, especially with other types of gastrointestinal diseases as digestive involvement of antiphospholipid syndrome (APS), moreover when both entities may coexist. We describe the case of a patient with both diseases that was diagnosed with lupus enteritis and treated with steroid therapy; the patient had an excellent response
Humans , Female , Middle Aged , Lupus Erythematosus, Systemic/drug therapy , Lupus Erythematosus, Systemic , Abdomen, Acute/complications , Abdomen, Acute/etiology , Antiphospholipid Syndrome/complications , Antiphospholipid Syndrome/diagnosis , Enteritis/complications , Enteritis/diagnosis , Steroids/therapeutic use , Adrenal Cortex Hormones/therapeutic use , Abdomen, Acute/physiopathology , Lupus Erythematosus, Systemic/metabolism , Abdomen, Acute , Vasculitis/complications , Vasculitis/diagnosis , Early Diagnosis , Diagnosis, Differential , Tomography, Emission-Computed/methods
