Barrera O Manuel, Barrera M Rodrigo, de la Rivera V Matías, Vela U Javier, Mönckeberg F Gustavo
Clínica Universidad de los Andes, Santiago, Chile.
Rev Med Chil. 2017 Oct;145(10):1349-1352. doi: 10.4067/S0034-98872017001001349.
Although gastrointestinal symptoms are not rare in Systemic lupus erythematosus, enteritis is an atypical manifestation of the disease. We report a 54 year-old woman who presented acute symptoms of diarrhea, fever and abdominal pain, receiving empiric antibiotic therapy for bacterial enteritis with no response. Computed tomography showed diffuse small intestine inflammation and serositis. Antinuclear antibodies, anti-Ro and anti-La were positive on blood tests. A lupic enteropathy was diagnosed and steroid treatment was initiated, with subsequent clinical improvement.
虽然胃肠道症状在系统性红斑狼疮中并不罕见，但肠炎是该疾病的一种非典型表现。我们报告一名54岁女性，她出现了腹泻、发热和腹痛的急性症状，接受了针对细菌性肠炎的经验性抗生素治疗但无反应。计算机断层扫描显示弥漫性小肠炎症和浆膜炎。血液检查显示抗核抗体、抗Ro和抗La呈阳性。诊断为狼疮性肠病并开始使用类固醇治疗，随后临床症状改善。
