Serviço de Medicina Interna, Centro Hospitalar do Baixo Vouga.
Serviço de Reumatologia, Centro Hospitalar do Baixo Vouga.
Acta Reumatol Port. 2021 Oct-Dec;46(4):365-367.
Systemic lupus erythematosus (SLE) is an autoimmune disease with potential multisystemic involvement. Mesenteric panniculitis (MP) has been described as a rare feature in patients with SLE. The authors present a case of a 26 years old patient with previous diagnosis of SLE presenting with abdominal pain and distension and a peri-umbilical mass. Imagological findings were compatible with MP and ganglion biopsy revealed inflammatory pattern. Corticosteroid therapy was initiated with a resolution of pain after 6 months of treatment, with image reevaluation showing improvement of previous findings.
系统性红斑狼疮(SLE)是一种自身免疫性疾病,可能涉及多个系统。肠系膜脂膜炎(MP)已被描述为 SLE 患者的罕见特征。作者报告了一例 26 岁女性患者,此前诊断为 SLE,表现为腹痛和腹胀,并伴有脐周肿块。影像学检查结果符合 MP,神经节活检显示炎症模式。开始使用皮质类固醇治疗,治疗 6 个月后疼痛缓解,影像学复查显示先前发现的改善。