title: Intestinal pseudo-obstruction in patients with systemic lupus erythematosus: a real diagnostic challenge.
abstract: Intestinal pseudo-obstruction secondary to systemic lupus erythematosus (SLE) is a rare syndrome described in recent decades. There are slightly over 30 published cases in the English language literature, primarily associated with renal and hematological disease activity. Its presentation and evolution are a diagnostic challenge for the clinician. We present four cases of intestinal pseudo-obstruction due to lupus in young Mexican females. One patient had a previous diagnosis of SLE and all presented with a urinary tract infection of varying degrees of severity during their evolution. We consider that recognition of the disease is of vital importance because it allows for establishing appropriate management, leading to a better prognosis and avoiding unnecessary surgery and complications.
authors.affiliation: Carlos Alberto García López, Fernando Laredo-Sánchez, José Malagón-Rangel, Miguel G Flores-Padilla, Haiko Nellen-Hummel, Department of Internal Medicine, Specialities Hospital, National Medical Centre "Siglo XXI", Mexican Social Security Institute, Distrito Federal 06720, México.
authors.forename: Carlos Alberto
authors.initials: CA
authors.lastname: García López
authors.affiliation: Carlos Alberto García López, Fernando Laredo-Sánchez, José Malagón-Rangel, Miguel G Flores-Padilla, Haiko Nellen-Hummel, Department of Internal Medicine, Specialities Hospital, National Medical Centre "Siglo XXI", Mexican Social Security Institute, Distrito Federal 06720, México.
authors.forename: Fernando
authors.initials: F
authors.lastname: Laredo-Sánchez
authors.affiliation: Carlos Alberto García López, Fernando Laredo-Sánchez, José Malagón-Rangel, Miguel G Flores-Padilla, Haiko Nellen-Hummel, Department of Internal Medicine, Specialities Hospital, National Medical Centre "Siglo XXI", Mexican Social Security Institute, Distrito Federal 06720, México.
authors.forename: José
authors.initials: J
authors.lastname: Malagón-Rangel
authors.affiliation: Carlos Alberto García López, Fernando Laredo-Sánchez, José Malagón-Rangel, Miguel G Flores-Padilla, Haiko Nellen-Hummel, Department of Internal Medicine, Specialities Hospital, National Medical Centre "Siglo XXI", Mexican Social Security Institute, Distrito Federal 06720, México.
authors.forename: Miguel G
authors.initials: MG
authors.lastname: Flores-Padilla
authors.affiliation: Carlos Alberto García López, Fernando Laredo-Sánchez, José Malagón-Rangel, Miguel G Flores-Padilla, Haiko Nellen-Hummel, Department of Internal Medicine, Specialities Hospital, National Medical Centre "Siglo XXI", Mexican Social Security Institute, Distrito Federal 06720, México.
authors.forename: Haiko
authors.initials: H
authors.lastname: Nellen-Hummel
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D005260:Female; D006801:Humans; D016756:Immunoglobulins, Intravenous / Q000627:therapeutic use; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D007418:Intestinal Pseudo-Obstruction / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D008180:Lupus Erythematosus, Systemic / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D008800:Mexico; D010289:Parenteral Nutrition, Total; D013256:Steroids / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014552:Urinary Tract Infections / Q000175:diagnosis / Q000209:etiology; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents; D016756:Immunoglobulins, Intravenous; D007166:Immunosuppressive Agents; D013256:Steroids
keywords: Diagnostic challenge; Intestinal pseudo-obstruction; Systemic lupus erythematosus; Uretero-hydronephrosis; Urinary tract infection