[Exudative enteropathy in disseminated lupus erythematosus].
We present the case of a young woman with a protein-losing enteropathy occurring in the context of systemic lupus erythematosus. This rare complication has limited gastro-intestinal manifestations and must be systematically looked for when hypoalbuminemia occurs in the absence of a lupus nephritis. High dose corticosteroids therapy (> or = 1 mg/kg/day of prednisone) usually leads to recovery, and should be the first treatment attempted. If this treatment is ineffective, bolus injections of methylprednisolone (1 g/day for three days) may be recommended. Immunosuppressive therapy should be given only if the above treatments are ineffective, or in case of cortico-dependency.
Pelletier
S
S
Service de Médecine Interne, Groupe hospitalier Pitié-Salpêtrière, Paris.
Ekert
P
P
Landi
B
B
Coutellier
A
A
Bletry
O
O
Herson
S
S
D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D008775:Methylprednisolone / Q000627:therapeutic use; D011239:Prednisolone / Q000627:therapeutic use; D011241:Prednisone / Q000627:therapeutic use; D011504:Protein-Losing Enteropathies / Q000175:diagnosis / Q000209:etiology*; D013997:Time Factors
D011239:Prednisolone; D011241:Prednisone; D008775:Methylprednisolone
Entéropathie exsudative au cours du lupus érythémateux disséminé.