Simultaneous herpes simplex virus esophagitis and lupus enteritis in a patient with systemic lupus erythematosus.
A 52-year-old woman with a 6-year history of systemic lupus erythematosus (SLE) developed acute abdominal pain, nausea, vomiting, and diarrhea accompanied by hypocomplementemia. Herpes simplex virus (HSV) esophagitis and lupus enteritis were diagnosed on the basis of the results of endoscopic and histological examinations and abdominal computed tomography (CT) findings. Treatment with acyclovir followed by high-dose intravenous steroids improved her symptoms. To our knowledge, this is the first case of simultaneous HSV esophagitis and lupus enteritis.
Wakui
Hideki
H
Department of Hematology, Nephrology, and Rheumatology, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita, 010-8543, Japan. wakui@med.akita-u.ac.jp
Togashi
Masaru
M
Omokawa
Ayumi
A
Okuyama
Shin
S
Masai
Rie
R
Komatsuda
Atsushi
A
Ogasawara
Hitoshi
H
Sawada
Ken-ichi
K
D000212:Acyclovir / Q000627:therapeutic use; D000998:Antiviral Agents / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D004751:Enteritis / Q000188:drug therapy / Q000473:pathology* / Q000821:virology; D004941:Esophagitis / Q000188:drug therapy / Q000473:pathology* / Q000821:virology; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D006561:Herpes Simplex / Q000150:complications / Q000188:drug therapy / Q000473:pathology*; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications / Q000188:drug therapy / Q000473:pathology*; D008775:Methylprednisolone / Q000627:therapeutic use; D008875:Middle Aged; D020551:Pulse Therapy, Drug; D018139:Simplexvirus / Q000276:immunology / Q000302:isolation & purification; D016896:Treatment Outcome
D000998:Antiviral Agents; D005938:Glucocorticoids; D000212:Acyclovir; D008775:Methylprednisolone