title: [Elderly case of systemic lupus erythematosus who showed lupus peritonitis as the initial symptom].
abstract: A 64-year-old woman who admitted because of abdominal pain and ascites. She was diagnosed as having systemic lupus erythematosus (SLE) and lupus peritonitis based on anti ds-DNA antibody, ANA positive, serositis and renal dysfunction. She was successfully treated by intravenous pulse therapy with methylprednisolone, but her enteritis recurred after switching to oral administration. She recovered following pulse therapy with methylprednisolone and extracorporeal apheresis. This case was characterized by a rather old age of onset and the peculiar initial symptoms of peritonitis.
authors.affiliation: The Third Department of Internal Medicine, Kyorin University School of Medicine.
authors.forename: Kazuhisa
authors.initials: K
authors.lastname: Nakamura
authors.forename: Yoshihisa
authors.initials: Y
authors.lastname: Sato
authors.forename: Kei
authors.initials: K
authors.lastname: Kawagoe
authors.forename: Noriyuki
authors.initials: N
authors.lastname: Asaba
authors.forename: Mari
authors.initials: M
authors.lastname: Hirata
authors.forename: Kengo
authors.initials: K
authors.lastname: Tokunaga
authors.forename: Naohiro
authors.initials: N
authors.lastname: Kawamura
authors.forename: Hideaki
authors.initials: H
authors.lastname: Mori
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Ishida
authors.forename: Shin-ichi
authors.initials: S
authors.lastname: Takahashi
mesh_terms: D000974:Antibodies, Antinuclear / Q000097:blood; D015415:Biomarkers; D001781:Blood Component Removal; D004247:DNA / Q000276:immunology; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D008775:Methylprednisolone / Q000008:administration & dosage; D008875:Middle Aged; D010538:Peritonitis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D020551:Pulse Therapy, Drug; D016896:Treatment Outcome
chemical_list: D000974:Antibodies, Antinuclear; D015415:Biomarkers; D004247:DNA; D008775:Methylprednisolone