Mesenteric Vasculitis in Lupus: Case Report and Literature Review

Abstract

Systemic lupus erythematosus often presents with involvement of the gastrointestinal tract of several causes. The lupus mesenteric vasculitis, a well-described entity, is rare, affecting between 1-2% of patients with lupus and abdominal pain, leading to severe and potentially fatal disease. We report a case of a young woman, without prior diagnosis, presenting with severe abdominal pain and fever with final diagnosis of lupus mesenteric vasculitis successfully treated with immunosuppression .We present a brief review of literature.

Diagnostic Challenge in Distinguishing Crohn’s Disease from Lupus Enteritis in Systemic Lupus Erythematosus Patient: A Case Report

“…Some studies used the results of abdominal CT scan findings as a primary justification of lupus enteritis diagnosis. 41,42 The features of lupus enteritis that can be found through CT scan are the target sign, comb sign, pseudo-obstruction, increased mesenteric fat attenuation, and segmental bowel dilatation. 37,43 However, comb sign and segmental bowel stenosis are not specific signs because they can also be found on CD.…”