Alves S Custódio, Fasano S, Isenberg D A
Internal Medicine Unit, Department of Medicine, Hospital de Cascais, Cascais, Portugal.
Rheumatology Unit, Department of Clinical and Experimental Medicine, Second University of Naples, Naples, Italy.
Lupus. 2016 Dec;25(14):1509-1519. doi: 10.1177/0961203316655210. Epub 2016 Jun 20.
The association of systemic lupus erythematosus (SLE) with gastrointestinal autoimmune diseases is rare, but has been described in the literature, mostly as case reports. However, some of these diseases may be very severe, thus a correct and early diagnosis with appropriate management are fundamental. We have analysed our data from the SLE patient cohort at University College Hospital London, established in 1978, identifying those patients with an associated autoimmune gastrointestinal disease. We have also undertaken a review of the literature describing the major autoimmune gastrointestinal pathologies which may be coincident with SLE, focusing on the incidence, clinical and laboratory (particularly antibody) findings, common aetiopathogenesis and complications.
系统性红斑狼疮(SLE)与胃肠道自身免疫性疾病的关联较为罕见,但文献中已有相关描述,大多为病例报告。然而,其中一些疾病可能非常严重,因此正确且早期的诊断以及适当的管理至关重要。我们分析了伦敦大学学院医院自1978年起建立的SLE患者队列的数据,确定了那些患有相关自身免疫性胃肠道疾病的患者。我们还对描述可能与SLE同时发生的主要自身免疫性胃肠道病变的文献进行了综述,重点关注发病率、临床和实验室(特别是抗体)检查结果、常见的病因发病机制及并发症。