Eosinophilic enteritis with systemic lupus erythematosus.
Gastrointestinal manifestations are common in systemic lupus erythematosus (SLE). Eosinophilic enteritis is a rare disorder of uncertain cause that was recently reported for the first time in association with SLE. This report presents a second case of eosinophilic enteritis in a 47-year-old female patient with SLE. The patient presented with recurrent episodes of abdominal pain, nausea, vomiting, and diarrhea. Complete blood counts on occasion showed elevated eosinophil counts. The patient underwent a comprehensive workup over several weeks, culminating in a small bowel biopsy that showed eosinophil infiltration in the muscularis propria, establishing the diagnosis. The patient was treated with a prolonged taper of prednisone with successful resolution of symptoms.
Sunkureddi
Prashanth R
PR
Division of Rheumatology, the Department of Internal Medicine, University of Texas Medical Branch, Galveston, TX, USA. prsunkur@utmb.edu
Luu
Nguyen
N
Xiao
Shu-Yuan
SY
Tang
Wendell W
WW
Baethge
Bruce A
BA
D015746:Abdominal Pain / Q000209:etiology; D003967:Diarrhea / Q000209:etiology; D004751:Enteritis / Q000150:complications / Q000188:drug therapy / Q000473:pathology*; D004802:Eosinophilia / Q000150:complications / Q000188:drug therapy / Q000473:pathology*; D005260:Female; D005753:Gastric Mucosa / Q000473:pathology*; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications* / Q000188:drug therapy; D008875:Middle Aged; D009325:Nausea / Q000209:etiology; D011241:Prednisone / Q000627:therapeutic use; D016896:Treatment Outcome; D014839:Vomiting / Q000209:etiology
D005938:Glucocorticoids; D011241:Prednisone