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A patient with systemic lupus erythematosus who developed massive small intestinal hemorrhaging during treatment for chronic lupus peritonitis


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Title: A patient with systemic lupus erythematosus who developed massive small intestinal hemorrhaging during treatment for chronic lupus peritonitis
Authors: Kawashiri, Shin-ya / Nishino, Ayako / Sueyoshi, Eijun / Okada, Akitomo / Koga, Tomohiro / Yamasaki, Satoshi / Nakamura, Hideki / Origuchi, Tomoki / Kawakami, Atsushi
Issue Date: Apr-2012
Publisher: 日本リウマチ学会 / Japan College of Rheumatology
Citation: Modern Rheumatology, 22(2), pp.312-315; 2012
Abstract: A 50-year-old Japanese woman, a patient with systemic lupus erythematosus (SLE) complicated with chronic lupus peritonitis, developed massive small intestinal hemorrhaging. She was treated with intravenous pulse of methylprednisolone, intravenous pulse of cyclophosphamide (IVCY), and immunoabsorption, but the peritonitis was refractory to these treatments. Subsequently, she was treated with oral corticosteroid and tacrolimus, and received IVCY monthly, but she developed massive small intestinal hemorrhaging 1 year after. Abdominal angiography detected multiple bleeding sites from the jejunal and ileal arteries. After transarterial embolization treatment, the melena disappeared. The pathology of this case appeared to be lupus mesenteric vasculitis.
Keywords: Lupus mesenteric vasculitis / Lupus peritonitis / Small intestinal hemorrhage / Systemic lupus erythematosus
URI: http://hdl.handle.net/10069/31176
ISSN: 14397595
DOI: 10.1007/s10165-011-0499-3
Rights: © Japan College of Rheumatology 2011 / 利用は著作権の範囲内に限られる。 / The original publication is available at www.springerlink.com
Type: Journal Article
Text Version: author
Appears in Collections:Articles in academic journal

Citable URI : http://hdl.handle.net/10069/31176

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