Protocolo diagnóstico del dolor abdominal en un paciente con lupus eritematoso sistémico

  1. Montaño Tapia, L. 1
  2. Pérez Gómez, A. 1
  3. Bohórquez Heras, C. 1
  4. Rabadán Rubio, E. 1
  1. 1 Servicio de Enfermedades del Sistema Inmune-Reumatología,Hospital Príncipe de Asturias, Alcalá de Henares, Madrid, España
Zeitschrift:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Datum der Publikation: 2021

Titel der Ausgabe: Enfermeades del sistema inmune (IV)

Serie: 13

Nummer: 31

Seiten: 1793-1796

Art: Artikel

DOI: 10.1016/J.MED.2021.04.008 DIALNET GOOGLE SCHOLAR

Andere Publikationen in: Medicine: Programa de Formación Médica Continuada Acreditado

Zusammenfassung

Abdominal pain in systemic lupus erythematosus (SLE) is a common symptom. Forty percent of patients will present with abdominal pain during the course of the disease, although it may also be an initial manifestation of undiagnosed disease. The origin of the pain is diverse, as it can be similar to that of the general population or be the result of activity specific to SLE or a concomitant disease. As part of the initial approach, the need for urgent surgery should be ruled out; otherwise, a complete work-up should be undertaken, including clinical history taking with physical examination, laboratory tests, phase reactants and SLE activity parameters, and imaging on suspicion. A high index of suspicion should be kept for infection and neoplasia, and immunosuppressive treatment instituted once these possibilities have been discounted.

Bibliographische Referenzen

  • Sultan SM, Ioannou Y, Isenberg DA. A review of gastrointestinal manifestations of systemic lupus erythematosus. Rheumatology. 1999;38(10):917-32.
  • Medina F, Ayala A, Jara LJ, Becerra M, Miranda JM, Fraga A. Acute abdomen in systemic lupus erithematosus: The importance of early laparatomy. Am J Med. 1997;103:100-5.
  • Al-Hakeem MS, McMillen MA. Evaluation of abdominal pain in systemic lupus erythematosus. Am J Surg. 1998;176(3):291-4.
  • Tian XP. Gastrointestinal involvement in systemic lupus erythematosus: Insight into pathogenesis, diagnosis and treatment. World J Gastroenterol. 2010;16(24):2971.
  • Yuan S, Ye Y, Chen D, Qiu Q, Zhan Z, Lian F. Lupus mesenteric vasculitis: clinical features and associated factors for the recurrence and prognosis of disease. Semin Arthritis Rheum. 2014;43(6):759-66.
  • Chen Z, Zhou J, Li J, Zhou Y, Wang X, Li T. Systemic lupus erythematosus gastrointestinal involvement: a computed tomography based assessment. Sci Rep. 2020;10(1):6400.
  • Lee CK, Ahn MS, Lee EY. Acute abdominal pain in systemic lupus erythematosus: focus on lupus enteritis (gastrointestinal vasculitis). Ann Rheum Dis. 2002;61(6):547-50.
  • Ebert EC, Hagspiel KD. Gastrointestinal and hepatic manifestations of systemic lupus erythematosus. J Clin Gastroenterol. 2011;45(5):436-41.
  • Li Z, Xu D, Wang Z, Wang Y, Zhang S, Li M. Gastrointestinal system involvement in systemic lupus erythematosus. Lupus. 2017;26(11): 1127-38.
  • Beisel C, Weiler Normann C, Teufel A, Lohse AW. Association of autoimmune hepatitis and systemic lupus erythematodes: A case series and review of the literature. World J Gastroenterol. 2014;20(35):12662-67.
  • Dall’Era M, Wofsy D. Manifestaciones clínicas del lupus eritema-toso sistémico (cap. 80). En: Firestein G, Budd R, Gabriel SE, Mcinnes LB, O’Dell J. Kelley y Firestein. Tratado de Reumatología. 10ª ed. Barcelona: Elsevier; 2018. p. 1345-67.
Fuente de los datos: Dialnet