Open AccessMesenteric vasculitis as a rare initial presentation of systemic lupus erythematosus: A case report
Author(s) -
Abdullah Alshehri,
Hanady Mohammed Alhumaidi,
Yahia Modawi Asseri,
Mohamed Elbagir K Ahmed,
Haider A Omer
Publication year - 2020
Publication title -
saudi journal of medicine and medical sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.125
H-Index - 2
eISSN - 1658-631X
pISSN - 2321-4856
DOI - 10.4103/sjmms.sjmms_206_19
Subject(s) - medicine , presentation (obstetrics) , abdominal pain , vasculitis , systemic lupus erythematosus , diarrhea , abdomen , dermatology , disease , gastrointestinal tract , surgery
Systemic lupus erythematosus (SLE) is a multisystem autoimmune disease that can also affect the gastrointestinal tract (GIT). The GIT symptoms are common in SLE patients, occurring in up to 40%-50% of the patients and may involve almost any organ along the GIT. Abdominal pain is the most common symptom, and an important cause of this is lupus mesenteric vasculitis (LMV). LMV is a very rare presentation of SLE, and in some cases, can precede the typical manifestations of SLE. Here, we report such a case where a 30-year-old Saudi woman presented clinically with a 2-week abdominal pain and diarrhea; the patient had not previously been diagnosed with SLE. Laboratory investigations and abdomen computed tomography imaging confirmed the diagnosis of LMV. Early recognition of this condition and its proper management improve the outcome of this serious rare initial presentation of SLE.