Protein-losing enteropathy in systemic lupus erythematosus. Observations by magnifying endoscopy.
We report a 35-year-old man with systemic lupus erythematosus and an associated protein-losing enteropathy that was most likely due to mesenteric venulitis or thrombosis. Evaluation of the patient's intestinal abnormality was aided by the use of magnifying endoscopy; the duodenal villi were lustrous and swollen and of various size, a pattern different from that previously described for intestinal lymphangiectasia. The patient was treated with corticosteroids, resulting in a good clinical response and return of the villi to normal shape and size.
Kobayashi
K
K
Department of Internal Medicine, School of Medicine, Keio University, Tokyo, Japan.
Asakura
H
H
Shinozawa
T
T
Yoshida
S
S
Ichikawa
Y
Y
Tsuchiya
M
M
Brown
W R
WR
D000328:Adult; D004384:Duodenoscopy; D004386:Duodenum / Q000473:pathology; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D008297:Male; D011504:Protein-Losing Enteropathies / Q000150:complications* / Q000473:pathology