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

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 me...

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Published inNippon Shōkakibyō Gakkai zasshi Vol. 104; no. 10; p. 1486
Main Authors Nakamura, Kazuhisa, Sato, Yoshihisa, Kawagoe, Kei, Asaba, Noriyuki, Hirata, Mari, Tokunaga, Kengo, Kawamura, Naohiro, Mori, Hideaki, Ishida, Hitoshi, Takahashi, Shin-ichi
Format Journal Article
LanguageJapanese
Published Japan 01.10.2007
Subjects
Antibodies, Antinuclear - blood
Biomarkers
Blood Component Removal
DNA - immunology
Female
Humans
Lupus Erythematosus, Systemic - complications
Lupus Erythematosus, Systemic - diagnosis
Lupus Erythematosus, Systemic - therapy
Methylprednisolone - administration & dosage
Middle Aged
Peritonitis - diagnosis
Peritonitis - etiology
Peritonitis - therapy
Pulse Therapy, Drug
Treatment Outcome
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Summary: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.
ISSN:0446-6586
DOI:10.11405/nisshoshi.104.1486