Chronic adhesive lupus serositis as a complication of systemic lupus erythematosus. Refractory chest pain and small-bowel obstruction.
Serious clinical sequelae of lupus serositis are uncommon and rarely a cause of morbidity. We describe two patients, one with chronic adhesive pericarditis and one with extensive small-bowel adhesions due to lupus peritonitis. In both, delayed institution of adequate prednisone therapy may have played a contributing role.
D000293:Adolescent; D000328:Adult; D002908:Chronic Disease; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology; D007421:Intestine, Small; D008180:Lupus Erythematosus, Systemic / Q000150:complications* / Q000188:drug therapy; D010493:Pericarditis / Q000209:etiology; D010538:Peritonitis / Q000150:complications / Q000188:drug therapy; D011241:Prednisone / Q000627:therapeutic use; D012700:Serositis / Q000150:complications* / Q000188:drug therapy
D011241:Prednisone