A patient with systemic lupus erythematosus who developed massive small intestinal hemorrhaging during treatment for chronic lupus peritonitis
A patient with systemic lupus erythematosus who developed massive small intestinal hemorrhaging during treatment for chronic lupus peritonitis
复制标题
一名系统性红斑狼疮患者在治疗慢性狼疮性腹膜炎期间出现大面积小肠出血
DOI：
10.3109/s10165-011-0499-3
复制
发表时间：
2012
影响因子：
2.2
通讯作者：
A. Kawakami
中科院分区：
文献类型：
--
作者：
S. Kawashiri;A. Nishino;E. Sueyoshi;A. Okada;T. Koga;S. Yamasaki;Hideki Nakamura;T. Origuchi;A. Kawakami
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.
