Corticosteroid-resistant multiple colonic ulcers in a patient with systemic lupus erythematosus/systemic sclerosis overlap syndrome effectively treated with intravenous cyclophosphamide pulse therapy.

Abstract:

:Abstract We report a rare case of a 17-year-old female with overlap syndrome (systemic lupus erythematosus and systemic sclerosis) who developed severe abdominal pain and bloody diarrhea accompanied by central nervous system lupus. Colonoscopy revealed multiple irregular and linear ulcers throughout the colon, which were resistant to corticosteroid pulse therapy and plasma exchange. The patient finally recovered after treatment with a relatively low dose of monthly intravenous cyclophosphamide (250 mg/m(2)) pulse therapy.

journal_name

Mod Rheumatol

journal_title

Modern rheumatology

authors

Ota Y,Nozue N,Dei Y,Kondo S,Ohashi H

doi

10.3109/s10165-003-0243-8

subject

Has Abstract

pub_date

2003-12-01 00:00:00

pages

359-62

issue

4

eissn

1439-7595

issn

1439-7609

journal_volume

13

pub_type

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