Title: A Rare Case of Systemic Lupus Erythematosus with Gastric Antral Vascular Ectasia
Authors: Komali Dukka, Yasodhamma P, Manoj Boda
DOI: https://dx.doi.org/10.18535/jmscr/v8i2.13
Abstract
SYSTEMIC LUPUS ERYTHEMATOSUS is an autoimmune disease assosciated with auto antibody production. The inflammation produced by it can affect and damage many organ systems. The involvement of gastrointestinal system in SLE is well documented. The extent of involvement of git and the frequency of symptoms is being underestimated. Patients present with vague complaints such as abdominal pain, nausea, upper GI bleed with non-specific physical examination findings and inconclusive diagnostic tests and serologic analysis. In SLE diagnosis should be evoked, when clinical picture and endoscopic features are suggestive to present as upper GI bleed like peptic ulcer diease, gastric vascular ectasia
Keywords: SLE,Upper GI bleed, peptic ulcer disease,gastric vascular ectasia.
References
- Bevra Hannahs Hahn systemic lupus erythmatosus Harrison’s principles of internal medicine 18th edition McGraw-Hill 2018 p2724
- Steffan W. Schulz et al, the gastrointestinal manifestations of systemic lupus erythematosus : a survey of the literature The Open Autoimmunity Journal, 2009, 1, 10-26
- systemic lupus erythmatosus, autoimmune diseases; Robbins basic pathology 9th edition Elsevier 2016
- Tan EM, Cohen AS, Fries JF, et al. The 1982 revised criteria for the classification of systemic lupus erythematosus. Arthritis Rheum 1982; 25: 271-7.
- Ramirez-Mata M, Reyes PA, Alarcon-Segovia D, et al. Esophageal motility in systemic lupus erythematosus. Am J Dig Dis1974; 19(2):132-6
- Hallegua DS, Wallace CJ. Gastrointestinal and Hepatic Manifestations.In: Wallace DJ, Hahn BH, Eds. Dubois’ Lupus Erythematosus: 6th ed. Philadelphia: Lippincott Williams and Wilkins 2002; 843-57.
- Junca J, Cuxart A, Olive A, et al. Anti-intrinsic factor antibodies in systemic lupus erythematosus. Lupus. 1993; 2(2): 111-4.
- Archimandritis A, Tsirantonaki M, Tzivras M, et al. Watermelon stomach in a patient with vitiligo and systemic lupus erythematosus. Clin Exp Rheumatol 1996; 14(2): 227-8.
- Mann SD, Debinski HS, Kamm MA. Clinical characteristics of chronic idiopathic intestinal pseudo-obstruction in adults. Gut 1997; 41(5): 675-81.
- Lee CK, Ahn MS, Lee EY, et al. Acute Abdominal Pain in SLE: focus on lupus enteritis .Ann Rheum Dis 2002; 61:547-50.
- Perednia DA, Curosh NA. Lupus-associated protein-losing enteropathy. Arch Intern Med 1990; 150(9): 1806-10.