Jalil N S, Lee J, Hoffman B, Soloway S
Division of Nephrology and Hypertension, Medical College of Pennsylvania, Philadelphia.
Adv Perit Dial. 1993;9:152-5.
Abdominal serositis and mesenteric vasculitis are complications of SLE. We report a case of SLE presenting as abdominal pain in a CAPD patient. Lupus serositis/mesenteric vasculitis should be considered in the differential diagnosis of a CAPD patient with SLE who presents with abdominal pain but benign cell counts and cultures. This is especially important since untreated mesenteric vasculitis can lead to bowel perforation and death.
腹部浆膜炎和肠系膜血管炎是系统性红斑狼疮(SLE)的并发症。我们报告一例以腹痛为表现的SLE患者,该患者正在接受持续性非卧床腹膜透析(CAPD)治疗。对于出现腹痛但细胞计数和培养结果正常的SLE合并CAPD患者,在鉴别诊断时应考虑狼疮性浆膜炎/肠系膜血管炎。这一点尤为重要,因为未经治疗的肠系膜血管炎可导致肠穿孔和死亡。