Article
Acta Reumatológica Portuguesa
Case-based Review
Case-based Review
Necrotizing mesenteric vasculitis in systemic lupus erythematosus
Abstract
Systemic lupus erythematosus (SLE) is a multisystemic autoimmune disorder which may affect the gastrointestinal system. Half of the patients with SLE experience gastrointestinal symptoms, with the most common being nausea, vomiting, anorexia, and abdominal pain. Mesenteric vasculitis is a severe and rare complication of SLE and one of the most frequent causes of severe acute abdominal pain. The authors present a case of a 57-year-old woman with SLE who was diagnosed with necrotizing mesenteric vasculitis following a urinary septic shock. The patient was treated with high-dose corticosteroid therapy and cyclophosphamide, with resolution of the clinical picture.
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Publication:
2024-03-03
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Maria Helena Lourenço, Ana Silva, Jessica Sousa, Helena Oliveira, Inês Silva, Manuela Costa, Jaime Branco, Maria João Gonçalves. Necrotizing mesenteric vasculitis in systemic lupus erythematosus. ARP Rheumatology, Vol 3, nº1 2024:49-52. PMID: 38558064
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