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PROTEIN-LOSING ENTEROPATHY IN SYSTEMIC LUPUS ERYTHEMATOSUS
Authors:S. E. J. EDMUNDS  V. GANJU  B. R. BEVERIDGE  M. A. FRENCH  M. F. QUINLAN
Affiliation:Medical Registrar, Department of General Medicine, Sir Charles Gairdner Hospital, Nedlands, W.A.;Medical Registrar, Department of General Medicine, Sir Charles Gairdner Hospital, Nedlands, W.A.;Physician, Department of General Medicine, Sir Charles Gairdner Hospital, Nedlands, W.A.;Clinical Immunologist, Department of Clinical Immunology, Sir Charles Gairdner Hospital, Nedlands, W.A.;Physician, Department of General Medicine, Sir Charles Gairdner Hospital, Nedlands, W.A.
Abstract:Two patients with systemic lupus erythematosus (SLE) presented with anasarca, pleural effusions and severe hypoalbuminema, Both were demonstrated to have protein-losing enteropathy, a rare complication of SLE. Other causes of gastrointestinal protein loss were excluded. There were marked similarities in both cases including circulating ANF with speckled staining, anti-(U1)RNP antibodies and low serum complement levels. Complete remission was achieved in both with prednisolone. Anti-(U1)RNP may be a marker for a subset of SLE in which protein-losing enteropathy is a major manifestation.
Keywords:Systemic lupus erythematosus    protein-losing enteropathy    anti-(U1)RNP antibodies
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