Pneumatosis cystoides intestinalis in neuropsychiatric systemic lupus erythematosus with diabetes mellitus: case report and literature review.
We report a patient with neuropsychiatric systemic lupus erythematosus (NPSLE) complicated by diabetes mellitus (DM) who showed pneumatosis cystoides intestinalis (PCI) while being treated with prednisolone (PSL) and an alpha-glucosidase inhibitor (αGI). The PCI was ameliorated with the cessation of the αGI and tapering of PSL in addition to transient fasting. Multiple factors, including NPSLE, DM, and medications, may have been involved in the pathogenesis of PCI in this patient.
Third Department of Medicine (Neurology and Rheumatology), Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, 390-8621, Japan.
Yasuhiro
Y
Shimojima
Wataru
W
Ishii
Masayuki
M
Matsuda
Kana
K
Tojo
Rie
R
Watanabe
Shu-Ichi
S
Ikeda
D048909:Diabetes Complications / Q000188:drug therapy*; D004359:Drug Therapy, Combination; D005938:Glucocorticoids / Q000008:administration & dosage / Q000009:adverse effects; D006801:Humans; D007004:Hypoglycemic Agents / Q000008:administration & dosage / Q000009:adverse effects; D007294:Inositol / Q000008:administration & dosage / Q000009:adverse effects / Q000031:analogs & derivatives*; D020945:Lupus Vasculitis, Central Nervous System / Q000188:drug therapy*; D008297:Male; D008875:Middle Aged; D011006:Pneumatosis Cystoides Intestinalis / Q000139:chemically induced* / Q000000981:diagnostic imaging; D011239:Prednisolone / Q000008:administration & dosage / Q000009:adverse effects*; D013453:Sulfonylurea Compounds / Q000008:administration & dosage / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed
D005938:Glucocorticoids; D007004:Hypoglycemic Agents; D013453:Sulfonylurea Compounds; D007294:Inositol; C057619:glimepiride; D011239:Prednisolone; C102817:voglibose