title: Eosinophilic enteritis with systemic lupus erythematosus.
abstract: 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.
authors.affiliation: Division of Rheumatology, the Department of Internal Medicine, University of Texas Medical Branch, Galveston, TX, USA. prsunkur@utmb.edu
authors.forename: Prashanth R
authors.initials: PR
authors.lastname: Sunkureddi
authors.forename: Nguyen
authors.initials: N
authors.lastname: Luu
authors.forename: Shu-Yuan
authors.initials: SY
authors.lastname: Xiao
authors.forename: Wendell W
authors.initials: WW
authors.lastname: Tang
authors.forename: Bruce A
authors.initials: BA
authors.lastname: Baethge
mesh_terms: 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
chemical_list: D005938:Glucocorticoids; D011241:Prednisone