Pneumatosis intestinal por Enteritis lúpica, manifestación poco frecuente de lupus eritematoso sistémico
DOI:
https://doi.org/10.52428/20756208.v17i43.263Keywords:
lupus eritematoso, enteritis lupica, pneumatosis intestinal.Abstract
Introduction: Gastrointestinal manifestations of systemic lupus erythematosus (SLE) such as abdominal pain, nausea, vomiting, diarrhea are common. Intestinal pneumatosis, characterized by multiple cysts on the intestinal wall, is a condition rarely associated with SLE and closely related to disease activity.
Methods: A bibliographic search was carried out in databases such as PubMed, Nature, Elsevier and Google Scholar, with keywords such as "intestinal pneumatosis" ̈lupus enteritis ̈. For the presentation of the case, data were taken from a medical history.
Case presentation: Female patient known by the service for a history of surgery for intestinal obstruction, where she returns again due to a clinical picture of more or less 6 days of poor general condition with hypotension 80/50 mm/Hg that does not improve with the administration of crystalloids, so admission to intensive therapy with the need for vasopressors is indicated, consultation is performed with surgery where it is decided to perform an exploratory laparoscopy ruled out intestinal vascular involvement and finally initiation of corticosteroids. The patient is discharged to general wards in good condition with oral diet.
Conclusion: Intestinal pneumatosis due to lupus enteritis is one of the rare manifestations with non-specific symptoms where it is necessary to have a timely diagnosis and treatment. Giving a good response to corticosteroids and avoiding unnecessary surgical interventions.
Key words: lupus erythematosus, lupus enteritis, intestinal pneumatosis
Downloads
References
¨¨´ ¨1. Kiriakidou M, Ching CL. Systemic lupus erythematosus. Ann Intern Med [Internet] 2020; 172(11): ITC81-96. Disponible en: http://dx.doi.org/10.7326/aitc202006020
Brewer BN, Kamen DL. Gastrointestinal and hepatic desease in sistemic lupus erythematosus. Rheum Dis Clin North Am [Internet]. 2018; 44(1): 165-75. Disponible en: http:///dx.doi.org/10.1016/j.rcd.2017.09.011
Jameson; Fauci; Kasper Longo. Principios de medicina interna (2T).19ª ed. Nueva York, NY, Estados Unidos de América; Mc Graw-Hill education Publishing; 2018
Barrera O M, Barrera M R, de la Rivera M V, Vela U J, Mönckeberg F G. Lupus enteritis as initial manifestation of systemic lupus erythematosus. Report of one case. Rev Med Chil [Internet]. 2017;145(10):1349–52. Disponible en: http://dx.doi.org/10.4067/S0034-98872017001001349
Arroyave Guerrero YA, Ruiz Beltrán GH, Meza Cabrera MD, Muñoz Ruiz EO, Muñoz Ordoñez GW. Neumatosis quística intestinal y peritoneal, causa de neumoperitoneo. Revisión de la literatura a propósito de un caso. Revista Colombiana de Cirugía [Internet]. 27 de marzo de 2020;35(1):93-9. Disponible en: https://doi.org/10.30944/20117582.592
Sagara A, Kitagawa K, Furuichi K, Kitajima S, Toyama T, Okumura T, Hara A, Sakai Y, Kaneko S, Wada T. Three cases of pneumatosis intestinalis presenting in autoimmune diseases. Modern Rheumatology [Internet]. Agosto de 2012 ;22(4):610-5. Disponible en: https://doi.org/10.3109/s10165-011-0551-3
hen L, He Q, Luo M, Gou Y, Jiang D, Zheng X, Yan G, He F. Clinical features of lupus enteritis: a single-center retrospective study. Orphanet Journal of Rare Diseases [Internet]. 26 de septiembre de 2021; 16(1). Disponible en: https://doi.org/10.1186/s13023-021-02044-4
Tapia LM, Gómez AP, Heras CB, Rubio ER. Protocolo diagnóstico del dolor abdominal en un paciente con lupus eritematoso sistémico. Medicine - Programa de Formación Médica Continuada Acreditado [Internet]; 13(31):1793-6. Disponible en: https://doi.org/10.1016/j.med.2021.04.008
Chandwar K, Sahoo RR, Wakhlu A, Wakhlu A. Pneumatosis intestinalis: a rare manifestation of lupus enteritis. BMJ Case Reports [Internet]. Enero de 2022 [consultado el 13 de junio de 2022];15(1):e247779. Disponible en: https://doi.org/10.1136/bcr-2021-247779
Xibillé-Friedmann D, Pérez-Rodríguez M, Carrillo-Vázquez S, Álvarez-Hernández E, Aceves FJ, Ocampo-Torres MC, et al. Guía de práctica clínica para el manejo del lupus eritematoso sistémico propuesta por el Colegio Mexicano de Reumatología. Reumatología Clínica [Internet]. 2019 Jan 1;15(1):3–20. Available from: https://www.reumatologiaclinica.org/es-guia-practica-clinica-el-manejo-articulo-S1699258X18300901
Ronen JA, Mekala A, Wiechmann C, Mungara S. A flare-up of systemic lupus erythematosus with unusual Enteric predominance. Cureus [Internet]. 2020;12(2):e7068. Disponible en: http://dx.doi.org/10.7759/cureus.7068
1. Frittoli RB, Vivaldo JF, Costallat LT, Appenzeller S. Gastrointestinal involvement in systemic lupus erythematosus: A systematic review. Journal of Translational Autoimmunity [Internet]. 2021 [consultado el 13 de noviembre de 2022];4:100106. Disponible en: https://doi.org/10.1016/j.jtauto.2021.100106
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Alejandra Angel Vargas Machicado, J. Fernando Candia Goitia
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License 4.0 that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
