title: Systemic lupus erythematosus presenting with a fatal intestinal vasculitis: a case report.
abstract: This case report demonstrates fatal gastrointestinal vasculitis as a rare presentation of systemic lupus erythematosus. A 34-year-old woman presented with abdominal pain and diarrhea. Anti nuclear antibody was positive and high titre of anti-ds DNA antibody was also reported. Treatment with corticosteroid and supportive cares were started; however, her condition worsened. Eventually, she was considered as a candidate for diagnostic laparoscopy. Immediately after laparoscopy, she developed respiratory distress along with upper gastrointestinal bleeding. Soon after, the patient died because of disseminated intravascular coagulation .
authors.affiliation: Fellow of Gastroenterology, Digestive Disease Research Center, Shariatie Hospital, Tehran University of Medical Science, Tehran, Iran.
authors.forename: Neda
authors.initials: N
authors.lastname: Nozari
authors.affiliation: Pasteur Hospital, Bam University of Medical Sciences, Bam, Iran.
authors.forename: Parisa
authors.initials: P
authors.lastname: Divsalar
keywords: Gastrointestinal manifestations; Systemic lupus erythematosus; Vasculitis
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