Sohn Ki Chang, Heo Won Gak, Chu Min Su, Kim Eui Joong, Chung Jong Hyeok, Choi Suck Chei, Yun Ki Jung, Seo Geom Seog
Departments of Internal Medicine, Wonkwang University School of Medicine, Iksan, Korea.
Departments of Pathology, Wonkwang University School of Medicine, Iksan, Korea.
Korean J Gastroenterol. 2019 May 25;73(5):299-302. doi: 10.4166/kjg.2019.73.5.299.
Rectal involvement by systemic lupus erythematosus (SLE) is quite rare. Approximately 14 cases have been reported worldwide, but only one with ischemic colitis has been reported in Korea. A 17-year-old female patient was hospitalized with abdominal pain and hematochezia. Sigmoidoscopy revealed only a simple rectal ulcer without ischemic colitis. cytomegalovirus and bacterial infections were excluded. A sigmoidoscopic rectal biopsy indicated a rectal invasion by SLE, but the patient showed an acute worsening conditions that did not respond to treatment. This paper reports a case of rectal ulcer that developed in SLE without ischemic colitis with a review of the relevant literature.
系统性红斑狼疮（SLE）累及直肠相当罕见。全球范围内约报告了14例，但韩国仅报告过1例合并缺血性结肠炎的病例。一名17岁女性患者因腹痛和便血入院。乙状结肠镜检查仅发现一个单纯的直肠溃疡，无缺血性结肠炎表现。排除了巨细胞病毒和细菌感染。乙状结肠镜下直肠活检提示SLE侵犯直肠，但患者病情急性恶化，治疗无效。本文报告1例无缺血性结肠炎的SLE患者发生直肠溃疡的病例，并对相关文献进行综述。
