Intestinal Pseudo-obstruction in Patients with Systemic Lupus Erythematosus: a Real Diagnostic Challenge

Overview

Journal World J Gastroenterol

Publisher Baishideng Publishing Group

Specialty Gastroenterology

Date 2014 Aug 30

PMID 25170234

Citations 6

Authors

Carlos Alberto Garcia Lopez

Fernando Laredo-Sanchez

Jose Malagon-Rangel

Miguel G Flores-Padilla

Haiko Nellen-Hummel

Affiliations

Soon will be listed here.

Abstract

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.

Citing Articles

An Atypical Initial Manifestation of Systemic Lupus Erythematosus: Lupus Enteritis Accompanied by Intestinal Pseudo-Obstruction and Bilateral Hydronephroureter.

Naeem F, Noor M, Batool S, Anwer Khan S, Akmal M Cureus. 2024; 15(12):e50628.

PMID: 38226118 PMC: 10789390. DOI: 10.7759/cureus.50628.

Early Intervention and Resolution of Pediatric Intestinal Pseudo-Obstruction in Systemic Lupus Erythematosus: A Pediatric Case Report.

Hsu D, Khalsa U, Hassan M, Sandborg C, Namjoshi S JPGN Rep. 2023; 2(1):e041.

PMID: 37206925 PMC: 10191485. DOI: 10.1097/PG9.0000000000000041.

Lupus intestinal pseudo-obstruction and hydronephrosis: Case report.

Adler B, Timlin H, Birnbaum J Medicine (Baltimore). 2019; 98(28):e16178.

PMID: 31305400 PMC: 6641825. DOI: 10.1097/MD.0000000000016178.

Systemic lupus erythematosus with intestinal perforation: A case report.

Gu Y, Zhu T, Wang Y, Xu H Exp Ther Med. 2015; 10(3):1234-1238.

PMID: 26622471 PMC: 4533166. DOI: 10.3892/etm.2015.2639.

Intestinal Pseudo-Obstruction as an Initial Manifestation of Systemic Lupus Erythematosus.

Oh D, Yang J, Lim Y, Kang J, Park J, Kim M Intest Res. 2015; 13(3):282-6.

PMID: 26131004 PMC: 4479744. DOI: 10.5217/ir.2015.13.3.282.

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