Mesenteric Vasculitis in a Systemic Lupus Erythematosus Patient with a Low Sledai: An Uncommon Presentation

Carvalho, Jozélio Freire de

doi:10.1590/s1807-59322010000300016

Cited by 11 publications

(8 citation statements)

References 12 publications

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“…8 Mesenteric vasculitis is SLE usually involves distal smaller branches and is due to deposition of complement, fibrinogen, and immune complexes leading to ischemia and dysfunction of intrinsic intestinal musculature. 9 Systemic lupus erythematosus vasculitis as an etiology for isolated splanchnic artery dissections is not reported previously in the English literature. In our case, there was large–medium vessel vasculitis of coeliac trunk and SMA with associated isolated spontaneous dissection of IMA.…”

Section: Discussionmentioning

confidence: 91%

Spontaneous Isolated Inferior Mesenteric Artery Dissection With Chronic Mesenteric Ischemia: Case Report and Endovascular Management

Giragani

Balani

Reddy

et al. 2018

Vasc Endovascular Surg

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We report the clinical details, imaging findings, and management for a 39-year-old female presenting with recurrent episodes of pain in abdomen due to systemic lupus erythematous vasculitis associated with spontaneous isolated inferior mesenteric dissection. Spontaneous mesenteric artery dissection is an uncommon cause of mesenteric ischemia. Symptomatic spontaneous isolated inferior mesenteric artery (IMA) dissection is a rare condition, and its association with systemic lupus erythematosus is not previously described in the English literature. The optimal treatment options are debatable and include medical management, surgical reconstruction, and endovascular therapy. We wish to highlight spontaneous isolated IMA dissection as a rare etiology for chronic mesenteric ischemia and its management by endovascular methods.

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Section: Discussionmentioning

confidence: 91%

Spontaneous Isolated Inferior Mesenteric Artery Dissection With Chronic Mesenteric Ischemia: Case Report and Endovascular Management

Giragani

Balani

Reddy

et al. 2018

Vasc Endovascular Surg

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“…SLE is a rare disease of unknown cause in which deposition of pathogenic autoantibodies and immune complexes can cause a broad variety of symptoms 14. It can affect almost every organ system and could be a life-threatening disease.…”

Section: Discussionmentioning

confidence: 99%

Systemic lupus erythematosus (SLE): an unusual cause of ileocolic intussusception

Glijn¹,

Korswagen

Lam-Tse

2017

BMJ Case Reports

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Intussusception is a rare diagnosis in adults. Gastrointestinal involvement is not unusual in systemic lupus erythematosus (SLE). A case of intussusception as first presenting symptom of SLE is described. A 50-year-old woman of Chinese origin came to the emergency room with symptoms of high fever, nausea, vomiting and weight loss of 10 kg. Three months before, an episode with abdominal pain due to ileal invagination in the colon occurred. Laboratory analysis showed: thrombocytopaenia, lymphopaenia, positive antinuclear antibody, antidouble-stranded DNA, Coombs tests and low C3 in combination with an active urine sediment and proteinuria. CT and positron emission tomography scan showed lymphadenopathy, but no other abnormalities. Axillar lymph node biopsy showed no abnormalities. The diagnosis new-onset SLE was made. Prednisone treatment was started and soon thereafter tapered, azathioprine and hydroxychloroquine were added. During follow-up, the SLE remained in remission. SLE is a rare cause of ileocolic intussusception and ileocolic intussusception may be the first presenting symptom.

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“… 1 Abdominal pain does have a wide differential diagnosis, however, gastrointestinal involvement is not unusual in SLE. 2 , 3 A lot of causes of abdominal pain have been described in lupus patients such as lupus enteritis drug reactions and infections due to steroids. 4 , 5 In addition, the likelihood of SLE as a contributing factor in jejunal diverticulosis has been reported.…”

Section: Introductionmentioning

confidence: 99%

“…Systemic lupus erythematosus is a complex autoimmune chronic inflammatory disorder with an extensive cascade of symptoms, the disease can involve the kidney, lung, nervous system, and heart 1 . Abdominal pain does have a wide differential diagnosis, however, gastrointestinal involvement is not unusual in SLE 2,3 . A lot of causes of abdominal pain have been described in lupus patients such as lupus enteritis drug reactions and infections due to steroids 4,5 .…”

Section: Introductionmentioning

confidence: 99%

Systemic lupus erythematous as an unusual cause of intussusception in Sudanese woman: A case report

Mohammadeen

Ahmed

Mohamed

et al. 2021

Clinical Case Reports

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Mesenteric Vasculitis in a Systemic Lupus Erythematosus Patient with a Low Sledai: An Uncommon Presentation

Cited by 11 publications

References 12 publications

Spontaneous Isolated Inferior Mesenteric Artery Dissection With Chronic Mesenteric Ischemia: Case Report and Endovascular Management

Spontaneous Isolated Inferior Mesenteric Artery Dissection With Chronic Mesenteric Ischemia: Case Report and Endovascular Management

Systemic lupus erythematosus (SLE): an unusual cause of ileocolic intussusception

Systemic lupus erythematous as an unusual cause of intussusception in Sudanese woman: A case report

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