Lupus enteritis misdiagnosed as biliary pancreatitis:a case report
-
摘要: <正>系统性红斑狼疮(systemic lupus erythematosus,SLE)是一种全身性、炎症性、自身免疫性疾病,临床表现多变。SLE患者常有胃肠道方面的主诉[1-5],其原因通常是由于药物的副作用或感染,而非活动性SLE本身[4]。此外,由于狼疮性肠炎作为SLE的首发症状较为罕见,故当患者无SLE病史而仅发生胃肠道相关症状时,往往不容易明确SLE的诊断。大多数SLE相关的胃肠道并发症是由血管炎及免疫复合
-
Key words:
- lupus erythematosus, systemic /
- lupus enteritis /
- diagnostic errors /
- case reports
-
[1]JANSSENS P, ARNAUD L, GALICIRE L, et al.Lupus enteritis:from clinical findings to therapeutic management[J].Orphanet JRare Dis, 2013, 8:67. [2]LI XZ, YANG CH, HUANG F.Misdiagnosis of gastrointestinal involvement in systemic lupus erythematosus:an analysis of two cases and literature review[J].Clin Misdiagn Misther, 2015, 18 (8) :576-577. (in Chinese) 李喜枝, 杨春华, 黄烽.系统性红斑狼疮胃肠道受累误诊二例报告及文献复习[J].临床误诊误治, 2015, 18 (8) :576-577. [3]ZHENG KD.Clinical analysis of systemic lupus erythematosus with digestive system involvement[J].China Modern Med, 2015, 22 (14) :43-45. (in Chinese) 郑可弟.消化系统受累的系统性红斑狼疮临床分析[J].中国当代医药, 2015, 22 (14) :43-45. [4]SULTAN SM, IOANNOU Y, ISENBERG DA.A review of gastrointestinal manifestations of systemic lupus erythematosus[J].Rheumatology (Oxford) , 1999, 38 (10) :917-932. [5]SMITH LW, PETRI M.Lupus enteritis:an uncommon manifestation of systemic lupus erythematosus[J].J Clin Rheumatol, 2013, 19 (2) :84-86. [6]SRAN S, SRAN M, PATEL N, et al.Lupus enteritis as an initial presentation of systemic lupus erythematosus[J].Case Rep Gastrointest Med, 2014, 2014:962735. [7]LI L.Relationship between impairment of hematological system and autoantibodies in systemic lupus erythematosus[J].Chin J Med Offic, 2015, 43 (4) :369-373. (in Chinese) 李丽.自身抗体与系统性红斑狼疮患者血液系统损伤相关性的研究[J].临床军医杂志, 2015, 43 (4) :369-373. [8]HOFFMAN BI, KATZ WA.The gastrointestinal manifestations of systemic systemic lupus erythematosus:a review of the literature[J].Semin Arthritis Rheum, 1980, 9 (4) :237-247. [9]HALLEGUA DS, WALLACE DJ.Gastrointestinal manifestations of systemic lupus erythematosus[J].Curr Opin Rheumatol, 2000, 12 (5) :379-385. [10]WU ZL, LIN YF, MA SR, et al.Clinical study of suppurative cholangitis and biliary pancreatitis with endoscopic sphincterotomy, biliary stent and other reletant factors[J].Trauma Crit Med, 2015, 3 (5) :297-300. (in Chinese) 吴卓霖, 林一帆, 麻树人, 等.化脓性胆管炎和胆源性胰腺炎与EST、胆管支架危险因素分析[J].创伤与急危重病医学, 2015, 3 (5) :297-300. [11]BYUN JY, HA HK, YU SY, et al.CT features of systemic lupus erythematosus in patients with acute abdominal pain:emphasis on ischemic bowel disease[J].Radiology, 1999, 211 (1) :203-209. [12]PYRPASOPOULOU A, CHATZIMICHAILIDOU S, ASLANIDIS S.Vascular disease in systemic lupus erythematosus[J].Autoimmune Dis, 2012, 2012:876456. [13]HILL PA, DWYER KM, POWER DA.Chronic intestinal pseudo-obstruction in systemic lupus erythematosus due to intestinal smooth muscle myopathy[J].Lupus, 2000, 9 (6) :458-463. [14]CHAN MR, VASUDEY M, PIERING WF, et al.Acute abdomen in a patient with systemic lupus erythematosus[J].Hospital Physician, 2005, 41:27-31. [15]SHIRAI T, HIRABAYASHI Y, WATANABE R, et al.The use of tacrolimus for recurrent lupus enteritis:a case report[J].J Med Case Rep, 2010, 4:150. [16]OH JS, KIM YG, LEE SG, et al.Successful treatment of recurrent lupus enteritis with rituximab[J].Lupus, 2010, 19 (2) :220-222.
本文二维码
计量
- 文章访问数: 2115
- HTML全文浏览量: 14
- PDF下载量: 431
- 被引次数: 0