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©2008 The WJG Press and Baishideng. All rights reserved.
World J Gastroenterol. Jun 14, 2008; 14(22): 3591-3593
Published online Jun 14, 2008. doi: 10.3748/wjg.14.3591
Published online Jun 14, 2008. doi: 10.3748/wjg.14.3591
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, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, St. Vincent’s Hospital, Suwon Si, Paldal-gu, Gyeonggi-Do 442-723, South Korea
Author contributions: Paik CN and Lee JR collected data, design the research; Paik CN, Kim JD, Chung WC, Lee KM, and Yang JM contributed to conception, carried out the literature research; Paik CN, Lee JR, Chung WC, and Lee KM prepared the manuscript. Paik CN and Lee JR wrote/draft the paper.
Correspondence to: Chang Nyol Paik, MD, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, St. Vincent’s Hospital Ji-dong, Suwon Si, Paldal-gu, Gyeonggi-Do 442-723, South Korea. cmcu@catholic.ac.kr
Telephone: +82-31-2497137
Fax: +82-31-2538898
Received: January 14, 2008
Revised: April 30, 2008
Accepted: May 7, 2008
Published online: June 14, 2008
Revised: April 30, 2008
Accepted: May 7, 2008
Published online: June 14, 2008
Abstract
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.
Keywords: Systemic lupus erythematosus, Ischemic colitis, Vasculitis