[A case of Sjögren's syndrome and systemic lupus erythematosus complicated with necrotizing angiitis of the gallbladder].
A 71 year-old man with Sjogren's syndrome and systemic lupus erythematosus was admitted to our hospital because of abdominal pain and fever. Laboratory investigation showed an ESR of 76 mm/hr, elevation of CRP and marked leukocytosis. Abdominal ultrasound and CT scan showed enlargement of the gallbladder and intravesicular sludge without stones. With a clinical diagnosis of acute cholecystitis and pan-peritonitis, the surgical procedures including cholecystectomy were performed. Histological examination of the gallbladder showed a presence of necrotizing angiitis of small arteries. The postoperative course was uneventful with daily administration of 10 mg of prednisolone.
Suwa
A
A
Division of Rheumatic Diseases, Tokyo Metropolitan Ohtsuka Hospital, Toshima-ku, Tokyo.
Hama
N
N
Kawai
S
S
Ishiyama
K
K
Tanabe
M
M
Yamada
T
T
Goto
M
M
Nakajima
A
A
Kashiwazaki
S
S
Inada
S
S
D000208:Acute Disease; D000368:Aged; D002764:Cholecystitis / Q000209:etiology*; D005705:Gallbladder Diseases / Q000209:etiology*; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D008297:Male; D010488:Polyarteritis Nodosa / Q000209:etiology*; D012859:Sjogren's Syndrome / Q000150:complications*