Open AccessIntestinal pseudo-obstruction in patients with systemic lupus erythematosus: A real diagnostic challenge
Author(s) -
Carlos Alberto García López,
Fernando Laredo-Sánchez,
José Malagón-Rangel,
Guillermo FloresPadilla,
Haiko Nellen-Hummel
Publication year - 2014
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.v20.i32.11443
Subject(s) - medicine , disease , intestinal pseudo obstruction , presentation (obstetrics) , systemic lupus erythematosus , urinary system , systemic disease , lupus erythematosus , intensive care medicine , immunology , dermatology , surgery , antibody
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.