[Elderly case of systemic lupus erythematosus who showed lupus peritonitis as the initial symptom].
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.
Nakamura
Kazuhisa
K
The Third Department of Internal Medicine, Kyorin University School of Medicine.
Sato
Yoshihisa
Y
Kawagoe
Kei
K
Asaba
Noriyuki
N
Hirata
Mari
M
Tokunaga
Kengo
K
Kawamura
Naohiro
N
Mori
Hideaki
H
Ishida
Hitoshi
H
Takahashi
Shin-ichi
S
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
D000974:Antibodies, Antinuclear; D015415:Biomarkers; D004247:DNA; D008775:Methylprednisolone