Acute acalculous cholecystitis in a child with systemic lupus erythematosus

Basiratnia, Mitra; Vasei, Mohammad; Bahador, Abbas; Ebrahimi, Esmaeel; Derakhshan, Ali

doi:10.1007/s00467-006-0021-x

Cited by 20 publications

(22 citation statements)

References 9 publications

(16 reference statements)

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“…Necrotizing medium‐vessel vasculitis has previously been reported in gallbladders of patients with SLE (14). Medium‐vessel vasculitis of the gallbladder has also been described in a pediatric case of SLE with acalculous cholecystitis (15).…”

Section: Discussionmentioning

confidence: 97%

A young woman with systemic lupus erythematosus and extensive mesenteric vasculitis involving small and medium vessels

Ashouri¹,

Davis²,

Farkas³

et al. 2012

Arthritis Care & Research

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Section: Discussionmentioning

confidence: 97%

A young woman with systemic lupus erythematosus and extensive mesenteric vasculitis involving small and medium vessels

Ashouri¹,

Davis²,

Farkas³

et al. 2012

Arthritis Care & Research

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“…Moreover, SLE patients are prone to biliary sludge because of biliary dyskinesia like in other collagen vascular diseases. [3] …”

Section: Discussionmentioning

confidence: 99%

“…Considering that cholecystectomy could be performed even beyond 3 days [12] and the AAC could be successfully treated using corticosteroid or moxifloxacin alone, [2,3] the AAC patients were conservatively managed firstly. The patients who accepted moxifloxacin [13] alone were referred to the antibiotic group, and the patients who accepted corticosteroid combined moxifloxacin were included into the corticosteroid group.…”

Section: Methodsmentioning

confidence: 99%

“…Gastrointestinal tracts, kidney, skin, hematologic, and central nervous systems are most common involved, while gallbladder involvement is an uncommon event among SLE patients. [1] Although there are a few cases of acute acalculous cholecystitis (AAC) with SLE reported so far, [2,3] there is no particular consensus of treatment for these patients. [4] …”

Section: Introductionmentioning

confidence: 99%

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Successful treatment using corticosteroid combined antibiotic for acute acalculous cholecystitis patients with systemic lupus erythematosus

Liu

Chen²,

He³

et al. 2017

Medicine

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There is no consensus of treatments for acute acalculous cholecystitis with systemic lupus erythematosus (SLE). The study was aimed to investigate the effect of the corticosteroid for these patients.A series of patients who were diagnosed as acute acalculous cholecystitis with SLE in the period from January 2012 to December 2016 at our hospital were included. They accepted 2 different conservative treatment strategies initially: the treatment using moxifloxacin (the antibiotic group), and the treatment using corticosteroid combined moxifloxacin (the corticosteroid group). Then clinical manifestations, laboratory features, and outcomes were analyzed.The study identified 22 women Han Chinese patients with the SLE history of 2.8 ± 1.4 year. There was no significant difference in SLE history, Systemic Lupus Erythematosus Disease Activity Index-2000 (SLEDAI-2000), Systemic Lupus International Collaborating Clinics/American College of Rheumatology damage index (SLICC/ACR), hematologic examination results, and corticosteroid dosage between 2 groups. And there was no significant difference in the symptom of acute cholecystitis, duration of the symptoms, white blood level, and the thickness of gallbladder wall between 2 groups either. However, the SLEDAI-2000 of the corticosteroid group was lower than that of the antibiotic group (7.3 ± 1.4 vs 10.7 ± 3.0, P = .03), so was the SLICC/ACR (0.1 ± 0.3 vs 0.3 ± 0.5, P = .01). Moreover, total 11 of 12 patients were successfully treated in the corticosteroid group, only 1 patient got cholecystectomy because no improvement after conservative treatment. While 4 of 10 patients were successfully treated by moxifloxacin alone, 6 patients had to accept cholecystectomy in the antibiotic group. The rate of successful conservative treatment in the corticosteroid group was higher than that of the antibiotic group (P = .02). All patients were followed up at least 6 months, there was no statistical difference in the rate of recurrence of abdominal pain between 2 groups (P = .37).The corticosteroid plays an important role in the management of the acalculous cholecystitis patient with SLE, and it should be considered as a first line of treatment.

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“…Here, the systemic inflammation could also involve the gallbladder vasculature, leading to local ischemic injury[ 5 ]. In Table 1 , we listed all of the case reports describing AAC in children affected with immune-mediated diseases since 2000[ 13 - 18 ].…”

Section: Epidemiology and Risk Factorsmentioning

confidence: 99%

Acute acalculous cholecystitis in children

Poddighe

Sazonov

2018

WJG

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Acute acalculous cholecystitis (AAC) is the inflammatory disease of the gallbladder in the absence of gallstones. AAC is estimated to represent at least 50% to 70% of all cases of acute cholecystitis during childhood. Although this pathology was originally described in critically ill or post-surgical patients, most pediatric cases have been observed during several infectious diseases. In addition to cases caused by bacterial and parasitic infections, most pediatric reports after 2000 described children developing AAC during viral illnesses (such as Epstein-Barr virus and hepatitis A virus infections). Moreover, some pediatric cases have been associated with several underlying chronic diseases and, in particular, with immune-mediated disorders. Here, we review the epidemiological aspects of pediatric AAC, and we discuss etiology, pathophysiology and clinical management, according to the cases reported in the medical literature.

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Acute acalculous cholecystitis in a child with systemic lupus erythematosus

Cited by 20 publications

References 9 publications

A young woman with systemic lupus erythematosus and extensive mesenteric vasculitis involving small and medium vessels

A young woman with systemic lupus erythematosus and extensive mesenteric vasculitis involving small and medium vessels

Successful treatment using corticosteroid combined antibiotic for acute acalculous cholecystitis patients with systemic lupus erythematosus

Acute acalculous cholecystitis in children

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