A patient with protein-losing enteropathy associated with systemic lupus erythematosus.
A 46-year-old woman previously diagnosed as having systemic lupus erythematosus presented with severe hypoalbuminemia and anasarca. She was demonstrated to have protein-losing enteropathy without any other active symptoms of SLE. Her bowel habit was normal and endoscopic examination revealed non-specific colitis and a small ulcer in the duodenum. Serum biochemistry showed an abnormal profile of the serum protein, including severe hyperlipoproteinemia and hyperfibrinogenemia. The process of protein-losing was not selective in terms of the molecular size. All of these symptoms and the abnormalities in laboratory data were improved by corticosteroid therapy.
Chung
U
U
Fourth Department of Internal Medicine, University of Tokyo Faculty of Medicine, Japan.
Oka
M
M
Nakagawa
Y
Y
Nishishita
T
T
Sekine
N
N
Tanaka
Y
Y
Harada
S
S
Igarashi
T
T
Ogata
E
E
D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D005260:Female; D006801:Humans; D006951:Hyperlipoproteinemias / Q000150:complications; D007019:Hypoproteinemia / Q000150:complications; D008180:Lupus Erythematosus, Systemic / Q000150:complications* / Q000188:drug therapy; D008875:Middle Aged; D011504:Protein-Losing Enteropathies / Q000097:blood / Q000150:complications* / Q000188:drug therapy; D012709:Serum Albumin / Q000172:deficiency
D000305:Adrenal Cortex Hormones; D012709:Serum Albumin