Jin Xiaorong, Wang Gui, Xu Xiaohua, Bai Yunjing, An Ran, Jiang Dexun
Department of Rheumatism and Immunology, Seventh Medical Center of PLA General Hospital.
Department of Oncology, China-Japan Friendship Hospital.
Eur J Gastroenterol Hepatol. 2020 Sep;32(9):1256-1262. doi: 10.1097/MEG.0000000000001775.
Lupus enteritis and Crohn's disease are two common immune diseases involving the gastrointestinal tract. There are many similar clinical manifestations, therefore it is very difficult to distinguish between them. The digestive system is involved anywhere from 8 to 40% of patients with systemic lupus erythematosus (SLE) and up to 53% of these go on to develop lupus enteritis. In patients with Crohn's disease, 6-40% were presented with oral mucosa ulceration, nodular erythema of skin, arthritis, eye disease and other extraintestinal manifestations. The concomitant of Crohn's disease and SLE is extremely rare; however, here we described a case of concomitant Crohn's disease and SLE characterized by recurrent intestinal obstruction. A systematic literature review of lupus concomitant with Crohn's disease was then conducted.
狼疮性肠炎和克罗恩病是两种常见的累及胃肠道的免疫性疾病。它们有许多相似的临床表现,因此很难将它们区分开来。系统性红斑狼疮(SLE)患者中8%至40%会累及消化系统,其中高达53%会发展为狼疮性肠炎。在克罗恩病患者中,6% - 40%会出现口腔黏膜溃疡、皮肤结节性红斑、关节炎、眼部疾病及其他肠外表现。克罗恩病与SLE同时存在极为罕见;然而,我们在此描述了一例以反复肠梗阻为特征的克罗恩病与SLE并存的病例。随后对狼疮合并克罗恩病进行了系统的文献综述。