title: Simultaneous presentation of hemophagocytic syndrome and mesenteric vasculitis in a patient with systemic lupus erythematosus.
abstract: We report an 18-year old female patient with systemic lupus erythematosus (SLE), who developed fever, pancytopenia, abdominal pain, and watery diarrhea. Computed tomography (CT) and bone marrow aspirate revealed lupus mesenteric vasculitis (LMV) and hemophagocytic syndrome (HPS). Serologic tests for Epstein-Barr virus (EBV) indicated its reactivation. This case demonstrates that HPS and concomitant LMV associated with viral reactivation can occur as clinical manifestations of SLE flare.
authors.affiliation: Division of Rheumatology, Department of Internal Medicine, School of Medicine, The Catholic University of Korea, Seoul St. Mary's Hospital, 505 Banpo-Dong, Seocho-Gu, Seoul 137-040, South Korea.
authors.forename: Su-Jin
authors.initials: SJ
authors.lastname: Moon
authors.forename: Seung-Ki
authors.initials: SK
authors.lastname: Kwok
authors.forename: Kyung-Su
authors.initials: KS
authors.lastname: Park
authors.forename: Wan-Uk
authors.initials: WU
authors.lastname: Kim
authors.forename: Sung-Hwan
authors.initials: SH
authors.lastname: Park
authors.forename: Ho-Youn
authors.initials: HY
authors.lastname: Kim
mesh_terms: D000293:Adolescent; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications* / Q000000981:diagnostic imaging; D051359:Lymphohistiocytosis, Hemophagocytic / Q000150:complications* / Q000473:pathology; D013152:Splanchnic Circulation; D014057:Tomography, X-Ray Computed; D014657:Vasculitis / Q000150:complications* / Q000000981:diagnostic imaging