Lupus masquerading as CAPD peritonitis.
Abdominal serositis and mesenteric vasculitis are complications of SLE. We report a case of SLE presenting as abdominal pain in a CAPD patient. Lupus serositis/mesenteric vasculitis should be considered in the differential diagnosis of a CAPD patient with SLE who presents with abdominal pain but benign cell counts and cultures. This is especially important since untreated mesenteric vasculitis can lead to bowel perforation and death.
Jalil
N S
NS
Division of Nephrology and Hypertension, Medical College of Pennsylvania, Philadelphia.
Lee
J
J
Hoffman
B
B
Soloway
S
S
D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000209:etiology / Q000628:therapy; D008180:Lupus Erythematosus, Systemic / Q000175:diagnosis*; D008181:Lupus Nephritis / Q000150:complications; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects*; D010538:Peritonitis / Q000175:diagnosis* / Q000209:etiology*