루푸스 장염 치료 중 발생한 소장 천공을 동반한 허헐성장염 1예

• Published in: Journal of rheumatic diseases pp. 378 - 381
• Main Authors: 주상현, 이재명, 박진균, 이은영, 이은봉, 송영욱
• Format: Journal Article
• Language: Korean
• Published: 대한류마티스학회 01.12.2015
• Subjects: 내과학
• ISSN: 2093-940X; 2233-4718

Development of ischemic enteritis is rare in patients with systemic lupus erythematosus (SLE). We report on a case of ischemic enteritis with small bowel perforation in a 54-year-old female patient with SLE. She was diagnosed as SLE at 20 years old. Nine months ago, she developed periumbilical pain and was diagnosed with lupus enteritis. She was treated with prednisolone (0.5 mg/d), which was tapered gradually over 6 weeks. Prednisolone was maintained at 12.5 mg once a day. A similar periumbilical pain episode occurred again 7 months ago. Four weeks ago, she visited the emergency room due to diffuse abdominal pain, and abdominal computed tomography showed small bowel obstruction. Gastrointestinal manifestations improved after conservative management. She visited again due to severe abdominal pain for 2 days. She had panperitonitis due to a small bowel perforation and underwent an emergency laparotomy. The surgical specimen revealed ischemic enteritis involving whole bowel wall thickness with perforation. We report on a case of ischemic enteritis with small bowel perforation in a SLE patient diagnosed as lupus enteritis with literature review. KCI Citation Count: 0