The Korean Journal of Gastroenterology (May 2019)

Rectal Ulcer Developed in Systemic Lupus Erythematosus without Ischemic Colitis

  • Ki Chang Sohn,
  • Won Gak Heo,
  • Min Su Chu,
  • Eui Joong Kim,
  • Jong Hyeok Chung,
  • Suck Chei Choi,
  • Ki Jung Yun,
  • Geom Seog Seo

Journal volume & issue
Vol. 73, no. 5
pp. 299 – 302

Abstract

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Rectal involvement by systemic lupus erythematosus (SLE) is quite rare. Approximately 14 cases have been reported worldwide, but only one with ischemic colitis has been reported in Korea. A 17-year-old female patient was hospitalized with abdominal pain and hematochezia. Sigmoidoscopy revealed only a simple rectal ulcer without ischemic colitis. cytomegalovirus and bacterial infections were excluded. A sigmoidoscopic rectal biopsy indicated a rectal invasion by SLE, but the patient showed an acute worsening conditions that did not respond to treatment. This paper reports a case of rectal ulcer that developed in SLE without ischemic colitis with a review of the relevant literature.

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