ABSTRACT
Systemic lupus erythematosus (SLE) is an autoimmune disorder generally affects young
to middle-aged women, commonly presenting as a triad of fever, rash, and joint pain
but can affect multiple organs and can present in a complex fashion, varying based
on the degree and severity of organ involvement. The differential for abdominal pain
and diarrhea in SLE is vast and can include VIPomas, serositis, pancreatitis, intestinal
vasculitis, and protein – losing enteropathy, gluten – enteropathy, intestinal pseudo-obstruction,
and infection. The pathology of lupus enterits thought to be immune-complex deposition
and complement activation, with subsequent mucosal edema. We present a case of a woman
with no history of SLE, but with a prolonged course of abdominal pain, diarrhoea and
vomiting and eventual diagnoses of lupus enteritis.
KEYWORDS:
Lupus erythematosus
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systemic lupus erythematosus