Case Report
Copyright ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jun 6, 2019; 7(11): 1315-1322
Published online Jun 6, 2019. doi: 10.12998/wjcc.v7.i11.1315
Lupus enteritis as the only active manifestation of systemic lupus erythematosus: A case report
Adalberto Gonzalez, Vaibhav Wadhwa, Fayssa Salomon, Jeevna Kaur, Fernando J Castro
Adalberto Gonzalez, Fayssa Salomon, Jeevna Kaur, Department of Internal Medicine, Cleveland Clinic Florida, Weston, FL 33331, United States
Vaibhav Wadhwa, Fernando J Castro, Department of Gastroenterology and Hepatology, Cleveland Clinic Florida, Weston, FL 33331, United States
Author contributions: Gonzalez A and Salomon F were the patient’s Internal Medicine physicians and contributed to manuscript drafting. Wadhwa V was one of the patient’s gastroenterologists, reviewed the literature, and contributed to manuscript writing. Kaur J reviewed the literature and contributed to manuscript writing. Castro FJ was the patient’s gastroenterologist and is responsible for the revision of the manuscript. All authors issued final approval for the version to be submitted.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Fernando Castro, MD, AGAF, Staff Physician, Department of Gastroenterology and Hepatology, Cleveland Clinic Florida, 2950 Cleveland Clinic Boulevard, Weston, FL 33331, United States. castrof@ccf.org
Telephone: +1-954-6895646
Received: February 12, 2019
Peer-review started: February 15, 2019
First decision: March 14, 2019
Revised: March 27, 2019
Accepted: April 18, 2019
Article in press: April 19, 2019
Published online: June 6, 2019
Core Tip

Core tip: Lupus enteritis is a rare manifestation of systemic lupus erythematosus (SLE). It is a difficult diagnosis, especially in the absence of other symptoms related to active SLE. We present the case of a 25-year-old female with lupus enteritis as the sole initial manifestation of active SLE. The diagnosis can be made with history, physical exam, laboratory testing, and imaging. Endoscopy is not required nor recommended to make the diagnosis. Treatment depends on the severity. In this patient with moderate severity lupus enteritis, high dose steroids were an efficient initial treatment. Hydroxychloroquine was used to maintain remission.