Recurrent lupus mesenteric vasculitis leading to gastrointestinal perforation and sepsis

Wang, Ying-Shu; Huang, I-Shen; Feng, Wen-Bin; Chiou, Yee-Hsuan

doi:10.1016/j.kjms.2015.04.007

Cited by 3 publications

(1 citation statement)

References 4 publications

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“…The typical tomographic findings are bowel wall edema, target signs, the dilatation of intestinal segments, prominent mesenteric vessels, increased attenuation of mesenteric fat, and ascites [ 57 , 60 ]. The timely diagnosis of lupus enteritis is crucial to prevent life-threatening complications such as gastrointestinal perforation, hemorrhage, and sepsis [ 61 ]. Relapses can occur in 31.7% of cases [ 62 ].…”

Section: Gastrointestinal Vasculitismentioning

confidence: 99%

Lupus Vasculitis: An Overview

et al. 2021

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Lupus vasculitis (LV) is one of the secondary vasculitides occurring in the setting of systemic lupus erythematosus (SLE) in approximately 50% of patients. It is most commonly associated with small vessels, but medium-sized vessels can also be affected, whereas large vessel involvement is very rare. LV may involve different organ systems and present in a wide variety of clinical manifestations according to the size and site of the vessels involved. LV usually portends a poor prognosis, and a prompt diagnosis is fundamental for a good outcome. The spectrum of involvement ranges from a relatively mild disease affecting small vessels or a single organ to a multiorgan system disease with life-threatening manifestations, such as mesenteric vasculitis, pulmonary hemorrhage, or mononeuritis multiplex. Treatment depends upon the organs involved and the severity of the vasculitis process. In this review, we provide an overview of the different forms of LV, describing their clinical impact and focusing on the available treatment strategies.

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Section: Gastrointestinal Vasculitismentioning

confidence: 99%

Lupus Vasculitis: An Overview

et al. 2021

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Connective Tissue Disorder-Associated Vasculitis

et al. 2016

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Vasculitides secondary to connective tissue diseases are classified under the category of 'vasculitis associated with systemic disease' in the revised International Chapel Hill Consensus Conference (CHCC) nomenclature. These secondary vasculitides may affect any of the small, medium or large vessels and usually portend a poor prognosis. Any organ system can be involved and the presentation would vary depending upon that involvement. Treatment depends upon the type and severity of presentation. In this review, we describe secondary vasculitis associated with rheumatoid arthritis, systemic lupus erythematosus, sarcoidosis, relapsing polychondritis, systemic sclerosis, Sjogren's syndrome and idiopathic inflammatory myositis, focusing mainly on recent advances in the past 3 years.

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