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[Elderly case of systemic lupus erythematosus who showed lupus peritonitis as the initial symptom].

Abstract
A 64-year-old woman who admitted because of abdominal pain and ascites. She was diagnosed as having systemic lupus erythematosus (SLE) and lupus peritonitis based on anti ds-DNA antibody, ANA positive, serositis and renal dysfunction. She was successfully treated by intravenous pulse therapy with methylprednisolone, but her enteritis recurred after switching to oral administration. She recovered following pulse therapy with methylprednisolone and extracorporeal apheresis. This case was characterized by a rather old age of onset and the peculiar initial symptoms of peritonitis.
AuthorsKazuhisa Nakamura, Yoshihisa Sato, Kei Kawagoe, Noriyuki Asaba, Mari Hirata, Kengo Tokunaga, Naohiro Kawamura, Hideaki Mori, Hitoshi Ishida, Shin-ichi Takahashi
JournalNihon Shokakibyo Gakkai zasshi = The Japanese journal of gastro-enterology (Nihon Shokakibyo Gakkai Zasshi) Vol. 104 Issue 10 Pg. 1486-91 (Oct 2007) ISSN: 0446-6586 [Print] Japan
PMID17917396 (Publication Type: Case Reports, English Abstract, Journal Article)
Chemical References
  • Antibodies, Antinuclear
  • Biomarkers
  • DNA
  • Methylprednisolone
Topics
  • Antibodies, Antinuclear (blood)
  • Biomarkers
  • Blood Component Removal
  • DNA (immunology)
  • Female
  • Humans
  • Lupus Erythematosus, Systemic (complications, diagnosis, therapy)
  • Methylprednisolone (administration & dosage)
  • Middle Aged
  • Peritonitis (diagnosis, etiology, therapy)
  • Pulse Therapy, Drug
  • Treatment Outcome

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