Chronic intestinal pseudo-obstruction: a rare first manifestation of systemic lupus erythematosus.

Abstract:

:Chronic intestinal pseudo-obstruction (CIPO) is a rare clinical syndrome of ineffective intestinal motility characterised by clinical and radiological evidence of intestinal obstruction with no identifiable mechanical lesion. CIPO can either be idiopathic or secondary to a systemic disease, like systemic lupus erythematosus (SLE). Fewer than 30 cases of CIPO secondary to SLE have been reported so far. Here we describe a case of SLE with the initial presentation of CIPO. In SLE-related CIPO, treatment includes a combination of high-dose intravenous corticosteroids, immunosuppressants and supportive care. With awareness of this condition, unnecessary surgical intervention and repeated invasive procedures could be avoided. Early initiation of treatment would avoid complications and bring about resolution of symptoms.

journal_name

Lupus

journal_title

Lupus

authors

Khairullah S,Jasmin R,Yahya F,Cheah TE,Ng CT,Sockalingam S

doi

10.1177/0961203313492873

subject

Has Abstract

pub_date

2013-08-01 00:00:00

pages

957-60

issue

9

eissn

0961-2033

issn

1477-0962

pii

0961203313492873

journal_volume

22

pub_type

杂志文章,评审

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