Major gastrointestinal manifestations in lupus patients in Asia: Lupus enteritis, intestinal pseudo-obstruction, and protein-losing gastroenteropathy

Lupus

Volumn 19, Issue 12, 2010, Pages 1404-1413

  Chng, H H ^a   Tan, B E ^b   Teh, C L ^c   Lian, T Y ^a  

^a TAN TOCK SENG HOSPITAL   (Singapore)

^b HOSPITAL PULAU PINANG   (Malaysia)

^c SARAWAK GENERAL HOSPITAL   (Malaysia)

Author keywords

abdominal pain; intestinal pseudo obstruction; lupus enteritis; mesenteric vasculitis; oedema; protein losing gastroenteropathy; systemic lupus erythematosus

Indexed keywords

ALBUMIN; AZATHIOPRINE; CORTICOSTEROID; CYCLOPHOSPHAMIDE; CYCLOSPORIN A; DIURETIC AGENT; ERYTHROMYCIN; METHYLPREDNISOLONE; METOCLOPRAMIDE; OCTREOTIDE; PREDNISOLONE; TECHNETIUM 99M;

ABDOMINAL DISTENSION; ABDOMINAL PAIN; ABDOMINAL TENDERNESS; ASCITES; ASIA; CLINICAL ASSESSMENT; COLONOSCOPY; COMPUTER ASSISTED TOMOGRAPHY; CONSTIPATION; CORTICOSTEROID THERAPY; DIARRHEA; DISEASE ASSOCIATION; DRUG EFFICACY; DRUG MEGADOSE; EARLY DIAGNOSIS; EDEMA; ENTERITIS; ERYTHROCYTE SEDIMENTATION RATE; GASTROINTESTINAL SYMPTOM; GASTROSCOPE; GASTROSCOPY; HUMAN; HYDRONEPHROSIS; HYDROURETER; HYPOALBUMINEMIA; INTERSTITIAL CYSTITIS; INTESTINE PSEUDOOBSTRUCTION; INTESTINE SOUND; ISCHEMIA; LUPUS ENTERITIS; MORBIDITY; MORTALITY; NAUSEA; PANCREAS DUCT; PERICARDIAL EFFUSION; PRIORITY JOURNAL; PROTEIN DEPLETION; PROTEIN LOSING GASTROENTEROPATHY; REVIEW; SEX DIFFERENCE; SYSTEMIC LUPUS ERYTHEMATOSUS; VASCULITIS; VOMITING; WEIGHT REDUCTION;

ASIA; DISEASE PROGRESSION; ENTERITIS; HUMANS; INCIDENCE; INTESTINAL PSEUDO-OBSTRUCTION; LUPUS ERYTHEMATOSUS, SYSTEMIC; PROTEIN-LOSING ENTEROPATHIES;

EID: 78649744694     PISSN: 09612033     EISSN: None     Source Type: Journal    
DOI: 10.1177/0961203310374337     Document Type: Review

References (60)

1. Dubois E., Tuffanelli D. Clinical manifestations of systemic lupus erythematosus: computer analysis of 520 cases. J Am Med Assoc 1964 ; 190: 104-111.
2. Hoffman BI, Katz WA The gastrointestinal manifestations of systemic lupus erythematosus: a review of literature. Seminar Arthritis Rheum 1980 ; 9: 237-247.
3. Mok CC, To CH, Ho LY, Yu KL Incidence and mortality of systemic lupus erythematosus in a Southern Chinese population, 2000-2006. J Rheumatol 2008 ; 35: 1978-1982.
4. To CH, Mok CC, Tang S., Ying S., Wong R., Lau C. Prognostically distinct clinical patterns of systemic lupus erythematosus identified by cluster analysis. Lupus 2009 ; 18: 1267-1275.
5. Mongkoltanatus J., Wangkaew S., Kasitanon N., Louthrenoo W. Clinical features of Thai male lupus: an age-matched controlled study. Rheumatol Int 2008 ; 28: 339-344.
6. Sultan SM, Ioannou Y., Isenberg DA A review of gastrointestinal manifestations of systemic lupus erythematosus. Rheumatol (Oxf) 1999 ; 38: 917-932.
7. Drenkard C., Villa AR, Reyes E., et al. Vasculitis in systemic lupus erythematosus. Lupus 1997 ; 6: 235-242.
8. Vitali C., Bencivelli W., Isenberg DA, et al. Disease activity in systemic lupus erythematosus: report of the Consensus Study Group of the European Workshop for Rheumatology Research. I. A descriptive analysis of 704 European lupus patients. European Consensus Study Group for Disease Activity in SLE. Clin Exp Rheumatol 1992 ; 10: 527-539.
9. Shapeero LG, Myers A., Oberkircher PE, Wallae TM Acute reversible lupus vasculitis of the gastrointestinal tract. Radiology 1974 ; 112: 569-574.
10. Lian TY, Edwards CJ, Chan SP, Chng HH Reversible acute gastrointestinal syndrome associated with active systemic lupus erythematosus in patients admitted to hospital. Lupus 2003 ; 12: 612-616.
11. Kwok SK, Seo SH, Ju JH, et al. Lupus enteritis: clinical characteristics, risk factor for relapse and association with anti-endothelial cell antibody. Lupus 2007 ; 16: 803-809.
12. Koh ET, Boey ML, Feng PH Acute surgical abdomen in systemic lupus erythematosus - an analysis of 10 cases. Ann Acad Med Singapore 1992 ; 21: 833-837.
13. Lee CK, Ahn MS, Lee EY, et al. Acute abdominal pain in systemic lupus erythematosus: focus on lupus enteritis (gastrointestinal vasculitis). Ann Rheum Dis 2002 ; 61: 547-550.
14. Zizic TM, Classen JN, Stevens MB Acute abdominal complications of systemic lupus erythematosus and polyarteritis nodosa. Am J Med 1982 ; 73: 525-531.
15. Medina F., Ayala A., Jara LJ, Becerra M., Miranda JM, Fraga A. Acute abdomen in systemic lupus erythematosus: the importance of early laparotomy. Am J Med 1997 ; 103: 100-105.
16. Pollak VE, Grove WJ, Kark RM, Muehrcke RC, Pirani CL, Steck IE Systemic lupus erythematosus simulating acute surgical condition of the abdomen. N Eng J Med 1958 ; 259: 258-266.
17. Pongkitkarun S., Boonnumsirikij M., Jatchavala J., Tong-u-thaisri P. Abdominal manifestations and complications in systemic lupus erythematosus: emphasis on CT findings. J Med Assoc Thai 2007 ; 90: 2112-2120.
18. Ko SF, Lee TY, Cheng TT, et al. CT findings at lupus mesenteric vasculitis. Acta Radiol 1997 ; 38: 115-120.
19. Byun JY, Ha HK, Yu SY, et al. CT features of systemic lupus erythematosus in patients with acute abdominal pain. Radiology 1999 ; 211: 203-209.
20. Buck AC, Serebro LH, Quinet RJ Subacute abdominal pain requiring hospitalization in a systemic lupus erythematosus patient: a retrospective analysis and review of the literature. Lupus 2001 ; 10: 491-495.
21. Ju JH, Min JK, Jung CK, et al. Lupus mesenteric vasculitis can cause acute abdominal pain in patients with SLE. Nat Rev Rheumatol 2009 ; 5: 273-281.
22. Taourel PG, Deneuville M., Pradel JA, Regent D., Bruel JM Acute mesenteric ischemia: diagnosis with contrast enhanced CT. Radiology 1996 ; 199: 632-636.
23. Endo H., Kondo Y., Kawagoe K., et al. Lupus enteritis detected by capsule endoscopy. Intern Med 2007 ; 46: 1621-1622.
24. Tsuchiya M., Okazaki I., Asakura H., Okubo T. Radiographic and endoscopic features of colonic ulcers in systemic lupus erythematosus. Am J Gastroenterol 1975 ; 64: 277-285.
25. Grimbacher B., Huber M., Kempis J., et al. Successful treatment of gastrointestinal vasculitis due to systemic lupus erythematosus with intravenous pulse cyclophosphamide: a clinical case report and review of the literature. Br J Rheumatol 1998 ; 37: 1023-1028.
26. Belmont HM, Abramson SB, Lie JT Pathology and pathogenesis of vascular injury in systemic lupus erythematosus: interactions of inflammatory cells and activated endothelium. Arthritis Rheum 1996 ; 39: 9-22.
27. Hopkins P., Belmont HM, Buyon J., Philips M., Weissmann G., Abramson SB Increased levels of plasma anaphylatoxins in systemic lupus erythematosus predict flares of the disease and may elicit vascular injury in lupus cerebritis. Arthritis Rheum 1988 ; 31: 632-641.
28. Kishimoto M., Nasir A., Mor A., Belmont HM Acute gastrointestinal distress syndrome in patients with systemic lupus erythematosus. Lupus 2007 ; 16: 137-141.
29. Badsha H., Kong KO, Lian TY, Chan SP, Edwards CJ, Chng HH A lower dose of pulse methylprednisolone for SLE flares is efficacious and has a decreased risk of infectious complications. Lupus 2002 ; 11: 508-513.
30. Kim YG, Ha HK, Nah SS, Lee CK, Moon HB, Yoo B. Acute abdominal pain in systemic lupus erythematosus: factors contributing to recurrence of lupus enteritis. Ann Rheum Dis 2006 ; 65: 1537-1538. (letter).
31. Laing TJ Gastrointestinal vasculitis and pneumatosis intestinalis due to systemic lupus erythematosus: successful treatment with pulse intravenous cyclophosphamide. Am J Med 1988 ; 85: 555-558.
32. Cacoub P., Benhamou Y., Barbet P., et al. Systemic lupus erythematosus and chronic intestinal pseudo-obstruction. J Rheumatol 1993 ; 20: 377-381. (Pubitemid 23066057)
33. Mok MY, Wong RW, Lau CS Intestinal pseudo-obstruction in systemic lupus erythematosus: an uncommon but important clinical manifestation. Lupus 2000 ; 9: 11-18.
34. Maruoka H., Honda S., Takeo M., Koga T., Fukuda T., Aizawa H. Tacrolimus treatment for refractory lupus cystitis. Mod Rheumatol 2006 ; 16: 264-266.
35. Chen YY, Yen HH, Hsu YT Intestinal pseudo-obstruction as the initial presentation of systemic lupus erythematosus: the need for enteroscopic evaluation. Gastrointest Endosc 2005 ; 62: 984-987.
36. Luman W., Chua KB, Cheong WK, Ng HS Gastrointestinal manifestations of systemic lupus erythematosus. Singapore Med J 2001 ; 42: 380-384.
37. Kim HJ, Park JY, Kim SM, et al. Systemic lupus erythematosus with obstructive uropathy. Case report and review. J Korean Med Sci 1995 ; 6: 462-469.
38. Chau TN, Lai ST Association of paralytic ileus, interstitial cystitis and hydronephrosis with systemic lupus erythematosus. Hong Kong Med J 1995 ; 1: 354-356.
39. Moriuchi J., Ichikawa Y., Takaya M., et al. Lupus cystitis and perforation of the small bowel in a patients with systemic lupus erythematosus and overlapping syndrome. Clin Exp Rheumatol 1989 ; 7: 533-536.
40. Takabayashi K., Sueishi M., Tomioka H. Lupus cystitis: a report of four cases. J Jpn Soc Intern Med 1985 ; 74: 1579-1583.
41. Nojima Y., Mimura T., Hamasaki K., et al. Chronic intestinal pseudoobstruction associated with autoantibodies against proliferating cell nuclear antigen. Arthritis Rheum 1996 ; 39: 877-879.
42. Park FD, Lee JK, Madduri GD, Ghosh P. Generalized megaviscera of lupus: Refractory intestinal pseudo-obstruction, ureterohydronephrosis and megacholedochus. World J Gastroenterol 2009 ; 15: 3555-3559.
43. Pardos-Gea J., Ordi-Ros J., Selva A., Perez-Lopez J., Balada E., Vilardell M. Chronic intestinal pseudo-obstruction associated with biliary tract dilatation in a patient with systemic lupus erythematosus. Lupus 2005 ; 14: 328-330.
44. Hill PA, Dwyer KM, Power DA Chronic intestinal pseudo-obstruction in systemic lupus erythematosus due to intestinal smooth muscle myopathy. Lupus 2000 ; 9: 458-463.
45. Perlemuter G., Chaussade S., Wechsler B., et al. Chronic intestinal pseudo-obstruction in systemic lupus erythematosus. Gut 1998 ; 43: 117-122.
46. Yukawa S., Tahara K., Shoji A., Hayashi H., Tsuboi N. Acute pan-dysautonomia as well as central nervous system involvement and peripheral neuropathies in a patient with systemic lupus erythematosus. Mod Rheumatol 2008 ; 18: 516-521.
47. Mok CC, Ying KY, Mak A., et al. Outcome of protein-losing gastroenteropathy in systemic lupus erythematosus treated with prednisolone and azathioprine. Rheumatol (Oxf) 2006 ; 45: 425-429.
48. Zheng WJ, Tian XP, Li L., Li F., Zeng XF, Tang FL Protein-losing enteropathy in systemic lupus erythematosus: analysis of the clinical features of fifteen patients. J Clini Rheumatol 2007 ; 13: 313-316.
49. Kim YG, Lee CK, Byeon JS, et al. Serum cholesterol in idiopathic and lupus-related protein-losing enteropathy. Lupus 2008 ; 17: 575-579.
50. Tsutsumi A., Sugiyama T., Matsumura R., et al. Protein losing enteropathy associated with collagen diseases. Ann Rheum Dis 1991 ; 50: 178-181.
51. Chung U., Oka M., Nakagawa Y., et al. A patient with protein-losing enteropathy associated with systemic lupus erythematosus. Intern Med 1992 ; 31: 521-524.
52. Nakajima A., Ohnishi S., Mimura T., Kubo K., Suzuki A., Yazaki Y., Matsuhashi N. Protein-losing enteropathy associated with hypocomplementemia and anti-nuclear antibodies. J Gastroenterol 2000 ; 35: 627-630.
53. Yoshida M., Miyata M., Saka M., et al. Protein-losing enteropathy exacerbated with the appearance of symptoms of systemic lupus erythematosus. Intern Med 2001 ; 40: 449-453.
54. Chen WL, Tsao YT Protein-losing enteropathy with mesenteric venous thrombosis: a forme fruste of systemic lupus erythematosus. Lupus 2009 ; 18: 1331-1333.
55. Wu CC, Lin SH, Chu P., Lai JH, Chang DM, Lin YF An unrecognized cause of oedema in a patient with lupus nephritis: protein losing enteropathy. Nephrol Dial Transplant 2004 ; 19: 2149-2150.
56. Oh DC, Ng TM, Ho J., Leong KP Systemic lupus erythematosus with concurrent protein-losing enteropathy and primary sclerosing cholangitis: a unique association. Lupus 2006 ; 15: 102-104.
57. Wang YF, Tseng KC, Chiu JS, et al. Outcome of surgical resection for protein-losing enteropathy in systemic lupus erythematosus. Clin Rheumatol 2008 ; 27: 1325-1328.
58. Chiu NT, Lee BF, Hwang SJ, et al. Protein losing enteropathy: Diagnosis with Tc-99m labeled human serum albumin scintigraphy. Radiology 2001 ; 219: 86-90.
59. Wang SJ, Tsai SC, Lan JL Tc-99m albumin scintigraphy to monitor the effect of treatment in protein-losing gastroenteropathy. Clin Nucl Med 2000 ; 24: 197-199.
60. Ossandon A., Bombardieri M., Coari G., Graziani G., Valesini G. Protein-losing enteropathy in systemic lupus erythematosus: role of diet and octreotide. Lupus 2002 ; 11: 465-466.