L’entérite : une manifestation peu fréquente et corticosensible du lupus érythémateux systémique |
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| Authors: | G Thomas M Ebbo S Genot E Bernit K Mazodier V Veit X Lagrange L Heyries G Kaplanski N Schleinitz J-R Harlé |
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| Institution: | 1. Service de médecine interne, hôpital de la Conception, CHU de Marseille, AP–HM, 147, boulevard Baille, 13385 Marseille cedex 05, France;2. Service de gastroentérologie, hôpital de la Conception, CHU de Marseille, 147, boulevard Baille, 13385 Marseille cedex 05, France |
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| Abstract: | Introduction. Lupus enteritis is a rare manifestation of systemic lupus erythematosus. The clinical manifestations are variable including abdominal pain, diarrhea, nausea and vomiting. Lupus enteritis is thought to be related to vasculitis.Case reports. We report here three new cases. All three patients aged of 45, 24 and 43 years (two females and one male) were admitted for abdominal pain, vomiting and diarrhea, and fulfilled the ACR criteria of systemic lupus erythematosus. The diagnosis of lupus enteritis was retained on the CT scan findings and the favorable outcome on corticosteroids after infectious etiologies were excluded.Conclusion. Lupus enteritis is thought to be one of the most common causes of acute abdominal pain in systemic lupus erythematosus. The diagnosis is based on clinical, radiological and biological findings. A good response to corticosteroids is usually reported. |
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| Keywords: | Enté rite lupique Douleur abdominale aiguë Vascularite Lupus é rythé mateux dissé miné Corticothé rapie |
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