Acute gastrointestinal distress syndrome in patients with systemic lupus erythematosus.
Cases of mesenteric vasculitis in systemic lupus erythematosus (SLE) are well described, however, individual patient with recurrent mesenteric vasculopathy producing repeated episodes with each exacerbation similar in character and quality has not been reported previously in the literature. We describe two SLE patients whose condition was complicated by repeated stereotypic, CT confirmed, episodes of lupus enteritis characterized by dramatic intestinal wall edema. Moreover, each flare was accompanied by significant hypocomplementemia and was rapidly reversible suggesting an acute gastrointestinal distress syndrome (AGDS) as a result of leukoaggregation and a gut capillary leak syndrome.
Kishimoto
M
M
Division of Rheumatology, NYU-Hospital for Joint Diseases, NYU School of Medicine, New York, NY 10003, USA.
Nasir
A
A
Mor
A
A
Belmont
H M
HM
D000208:Acute Disease; D000328:Adult; D005260:Female; D005767:Gastrointestinal Diseases / Q000209:etiology*; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D008638:Mesenteric Arteries; D008642:Mesenteric Veins; D013577:Syndrome; D014657:Vasculitis / Q000209:etiology*