Posthuma E F, Warmerdam P, Chandie Shaw M P, Breedveld F C, Macfarlane J D, van der Sluys Veer A, Lamers C B
Department of Gastroenterology, University Hospital, Leiden, The Netherlands.
Gut. 1994 Jun;35(6):841-3. doi: 10.1136/gut.35.6.841.
A patient with nausea and vomiting who subsequently proved to have systemic lupus erythematosus is described. Although gastrointestinal involvement is common in systemic lupus erythematosus it is rare as an initial manifestation. Gastric outlet obstruction was shown on the air contrast examination while the mucosa at endoscopy was normal. The gastric symptoms regressed after treatment with high dose corticosteroids and a repeat air contrast examination of the stomach was normal. This stricturing process may have been caused by a local peritonitis.
本文描述了一名最初表现为恶心和呕吐，最终被诊断为系统性红斑狼疮的患者。虽然胃肠道受累在系统性红斑狼疮中很常见，但作为首发表现却很罕见。气钡造影检查显示胃出口梗阻，而内镜检查时黏膜正常。高剂量皮质类固醇治疗后胃部症状消退，复查胃气钡造影正常。这种狭窄过程可能是由局部腹膜炎引起的。
