직장-S상 결장접합부 거대 궤양을 통해 진단된 전신홍반 루푸스
저자들은 비특이적인 위장 증상으로 내원한 전신홍반루푸스 환자에서 S상결장 부위의 부분-완전 폐색을 동반한 커다란 직장궤양을 발견하였고, 기저 질환으로 루푸스를 진단하고 경구스테로이드 치료로 호전되었기에 이를 보고하는 바이다. Systemic lupus erythematosus (SLE) is a multi-system inflammatory disorder that has many symptoms. Gastrointestinal symptoms are common, while colonic involvement in the form...
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Published in | The Korean journal of medicine Vol. 82; no. 2; pp. 252 - 256 |
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Main Authors | , , , , , , , , , , , , , |
Format | Journal Article |
Language | Korean |
Published |
대한내과학회
01.02.2012
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Subjects | |
Online Access | Get full text |
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Summary: | 저자들은 비특이적인 위장 증상으로 내원한 전신홍반루푸스 환자에서 S상결장 부위의 부분-완전 폐색을 동반한 커다란 직장궤양을 발견하였고, 기저 질환으로 루푸스를 진단하고 경구스테로이드 치료로 호전되었기에 이를 보고하는 바이다.
Systemic lupus erythematosus (SLE) is a multi-system inflammatory disorder that has many symptoms. Gastrointestinal symptoms are common, while colonic involvement in the form of ischemic colitis or a colonic ulcer is rare in SLE. The differential diagnosis of ischemic proctitis with ulceration includes an infected ulcer, ulcerative colitis, Crohn`s disease, solitary rectal ulcer colitis, malignant tumor, and lupus colitis. Here, we report a 22-year-old male with abdominal pain and diarrhea, who had a huge rectal ulcer that nearly obstructed the rectosigmoid junction. This turned out to be a rare gastrointestinal manifestation of lupus. He recovered after being treated with high-dose oral steroids. Our case demonstrates that a rectal ulcer is a rare, but important, complication of SLE and can be the initial clinical manifestation of the disease. (Korean J Med 2012;82:252-256) |
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Bibliography: | The Korean Association Of Internal Medicine |
ISSN: | 1738-9364 |