Reactivation of systemic lupus erythematosus in a dialysis patient after tuberculous peritonitis.
The disease activity of patients suffering from lupus nephritis usually becomes quiescent after the onset of end stage renal failure. Reactivation of lupus activity, especially after a long period of dialysis, is uncommon. Factors that might trigger off lupus reactivation after dialysis have not been well defined. We report a case of a 43-year-old Chinese woman on long-term peritoneal dialysis, who developed lupus reactivation with cerebral involvement 2 weeks after she was diagnosed to have tuberculous peritonitis. The close temporal relationship between the tuberculous peritonitis and the lupus reactivation raise the possibility that the tuberculous infection might have triggered off the lupus reactivation.
Lui
S L
SL
Division of Nephrology, University Department of Medicine, Tung Wah Hospital, Hong Kong, People's Republic of China. sllui@hkucc.hku.hk
Lam
M F
MF
Tse
K C
KC
Lo
W K
WK
D000328:Adult; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000382:microbiology*; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D010531:Peritoneal Dialysis, Continuous Ambulatory; D010538:Peritonitis / Q000150:complications / Q000382:microbiology; D014395:Peritonitis, Tuberculous / Q000150:complications*; D012008:Recurrence