Ischemic colitis associated with intestinal vasculitis: Histological proof in systemic lupus erythematosus

Jeong Rok Lee; Chang Nyol Paik; Jin Dong Kim; Woo Chul Chung; Kang-Moon Lee; Jin Mo Yang; Costa, Francesco; Eliakim, Rami; Freund, Jean-Noel
June 2008
World Journal of Gastroenterology;6/14/2008, Vol. 14 Issue 22, p3591
Academic Journal
Ischemic colitis is an uncommon complication in patients with systemic lupus erythematosus (SLE). In previously reported cases of colitis caused by SLE, intestinal vasculitis is implicated as the causative process, but is rarely confirmed histologically. We described a case of a 32-year-old man with increased activity of SLE, who presented with hematochezia and abdominal pain due to ischemic colitis with small vessel vasculitis which was proven by sigmoidoscopic biopsy. The clinical course of the patient was improved after steroid and conservative management.


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