Open AccessIschemic colitis associated with intestinal vasculitis: Histological proof in systemic lupus erythematosus
Author(s) -
Jeong Rok Lee,
Chang Nyol Paik,
Jin-Dong Kim,
Woo Chul Chung,
Kang-Moon Lee,
Jin Mo Yang
Publication year - 2008
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.14.3591
Subject(s) - hematochezia , medicine , ischemic colitis , colitis , vasculitis , systemic vasculitis , abdominal pain , systemic lupus erythematosus , biopsy , gastroenterology , complication , lupus erythematosus , pathology , immunology , colonoscopy , disease , colorectal cancer , cancer , antibody
Ischemic colitis is an uncommon complication in patients with systemic lupus erythematosus (SLE). In previously reported cases of colitis caused by SLE, intestinal vasculitis is implicated as the causative process, but is rarely confirmed histologically. We described a case of a 32-year-old man with increased activity of SLE, who presented with hematochezia and abdominal pain due to ischemic colitis with small vessel vasculitis which was proven by sigmoidoscopic biopsy. The clinical course of the patient was improved after steroid and conservative management.