A case of lupus cystitis diagnosed from urinary symptoms as the sole initial complaint.
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.
Akamatsu
Shusuke
S
The Department of Urology, Shizuoka General Hospital.
Tsukazaki
Hideki
H
Inoue
Kouji
K
Nishio
Yasunori
Y
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
D000893:Anti-Inflammatory Agents; D011239:Prednisolone