麻痺性イレウスと腹水を伴った虚血性腸炎が発症したSLEの1例

Abstract

A case of systemic lupus erythematosus complicated by ischemic enteritis with paralytic ileus and ascites is reported. The patient was a 39-year-old female. A diagnosis of SLE was made in January 1991. Her condition was maintained with low doses of prednisolone (5 mg/day). She was admitted to our hospital because of abdominal pain on August 1, 1992. US and plain film of the abdomen disclosed the existence of ischemic enteritis, ileus and ascites. Low CH50 was seen in July 2, 1992. She was treated with high doses of prednisolone (40 mg/day) and recoverd 20 days later. The present case indicates that intestinal lesion and lower CH50 were markers of the active stage.