A Rare Case of Systemic Lupus Erythematosus with Gastric Ulcer and Acute Pancreatitis: A Case Report and Literature Review
| Autor: | Binav Shrestha, Shivani Thapa, Pavani Garlapati, Arshpal Gill, Ragin Alex, Jaspreet Kaler, Mazin Khalid, Vijay Gayam, Amrendra Mandal |
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| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Abdominal pain Case Report Chronic inflammatory disease Gastroenterology 03 medical and health sciences Systemic lupus erythematosus 0302 clinical medicine immune system diseases Internal medicine Rare case medicine Significant risk skin and connective tissue diseases Organ system 030203 arthritis & rheumatology business.industry Gastric ulcer Mortality rate medicine.disease EPIGASTRIC ABDOMINAL PAIN Acute pancreatitis medicine.symptom business 030215 immunology |
| Zdroj: | Gastroenterology Research |
| ISSN: | 1918-2813 1918-2805 |
| DOI: | 10.14740/gr1048w |
| Popis: | Systemic lupus erythematosus (SLE) is a chronic inflammatory disease which can manifest in many different organ systems. Gastrointestinal (GI) involvement is common in SLE, but the symptoms are usually mild. More severe GI complications including acute pancreatitis and peptic ulcer bleeding are rare but represent a significant risk of morbidity and mortality. We present a case of a 25-year-old Hispanic female with a severe SLE flare. The initial presentation included symptoms of hematemesis and epigastric abdominal pain secondary to both gastric ulceration and acute pancreatitis, an atypical presentation of an SLE flare. The non-specific symptom of abdominal pain makes both acute pancreatitis and gastric ulcer disease a clinical challenge; however, clinicians need to have a high suspicion for these conditions co-existing at the same time due to higher mortality rates. |
| Databáze: | OpenAIRE |
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