title: A case of lupus cystitis diagnosed from urinary symptoms as the sole initial complaint.
abstract: Cystitis related with systemic lupus erythematosis (SLE) is termed as lupus cystitis. It is a subtype of SLE in which gastrointestinal and bladder symptoms are prominent and it usually manifests with other symptoms of SLE. We present a case in a 37-year-old woman whose sole complaint was the severe urinary symptoms. A biopsy of the bladder showed inflammation in the submucosa and the finding of vasculitis. An autoimmune disease was suspected from the blood serum sample. A further laboratory study was performed and she was diagnosed with SLE and lupus cystitis. Prompt therapy with corticosteroids resulted in the improvement of the severe bladder symptoms.
authors.affiliation: The Department of Urology, Shizuoka General Hospital.
authors.forename: Shusuke
authors.initials: S
authors.lastname: Akamatsu
authors.forename: Hideki
authors.initials: H
authors.lastname: Tsukazaki
authors.forename: Kouji
authors.initials: K
authors.lastname: Inoue
authors.forename: Yasunori
authors.initials: Y
authors.lastname: Nishio
mesh_terms: D000328:Adult; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage; D018856:Cystitis, Interstitial / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D011239:Prednisolone / Q000008:administration & dosage
chemical_list: D000893:Anti-Inflammatory Agents; D011239:Prednisolone