Acute mesenteric lymphadenitis revealing systemic lupus erythematosus

Acute mesenteric lymphadenitis (AML) remains unusual during systemic lupus erythematosus (SLE), and only a few sporadic observations have been found in the medical literature. It may exceptionally be the first manifestation revealing SLE representing a real diagnostic and therapeutic challenge for c...

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Autores principales:	Salem Bouomrani, Ines Lamloum
Formato:	article
Lenguaje:	EN
Publicado:	Emergency Department of Hospital San Pedro (Logroño, Spain) 2020
Materias:	acute mesenteric lymphadenitis systemic lupus erythematosus lymphadenitis mesenteric adenitis Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/46e31db41fe746bc8690f3e169f363eb
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spelling	oai:doaj.org-article:46e31db41fe746bc8690f3e169f363eb2021-12-02T15:37:21ZAcute mesenteric lymphadenitis revealing systemic lupus erythematosus10.5281/zenodo.37149922695-5075https://doaj.org/article/46e31db41fe746bc8690f3e169f363eb2020-03-01T00:00:00Zhttps://doi.org/10.5281/zenodo.3714992https://doaj.org/toc/2695-5075Acute mesenteric lymphadenitis (AML) remains unusual during systemic lupus erythematosus (SLE), and only a few sporadic observations have been found in the medical literature. It may exceptionally be the first manifestation revealing SLE representing a real diagnostic and therapeutic challenge for clinicians (specific lupus manifestation or infectious complication?). We report an original observation of isolated AML revealing SLE in a 29-year-old Tunisian woman without pathological medical history. She was explored for acute and febrile abdominal pain evolving for a week and not improved by symptomatic treatment. The somatic examination noted a fever at 38.5°C and a discrete diffuse abdominal tenderness. Biology showed a marked biological inflammatory syndrome, leukopenia at 3400/mm3, neutropenia at 1900/mm3, and lymphopenia at 1140/mm3 with no other abnormalities. The abdominal ultrasound and computed tomography objectified multiple large, hypoechoic, and richly vascularized on Doppler mesenteric lymph node compatible with the diagnosis of AML. Subsequent investigations concluded to SLE. The patient was treated with systemic glucocorticoids and hydroxychloroquine with favorable outcome. No recurrence has been noted for two years.Salem BouomraniInes LamloumEmergency Department of Hospital San Pedro (Logroño, Spain)articleacute mesenteric lymphadenitissystemic lupus erythematosuslymphadenitismesenteric adenitisMedicine (General)R5-920ENIberoamerican Journal of Medicine, Vol 2, Iss 2, Pp 131-133 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	acute mesenteric lymphadenitis systemic lupus erythematosus lymphadenitis mesenteric adenitis Medicine (General) R5-920
spellingShingle	acute mesenteric lymphadenitis systemic lupus erythematosus lymphadenitis mesenteric adenitis Medicine (General) R5-920 Salem Bouomrani Ines Lamloum Acute mesenteric lymphadenitis revealing systemic lupus erythematosus
description	Acute mesenteric lymphadenitis (AML) remains unusual during systemic lupus erythematosus (SLE), and only a few sporadic observations have been found in the medical literature. It may exceptionally be the first manifestation revealing SLE representing a real diagnostic and therapeutic challenge for clinicians (specific lupus manifestation or infectious complication?). We report an original observation of isolated AML revealing SLE in a 29-year-old Tunisian woman without pathological medical history. She was explored for acute and febrile abdominal pain evolving for a week and not improved by symptomatic treatment. The somatic examination noted a fever at 38.5°C and a discrete diffuse abdominal tenderness. Biology showed a marked biological inflammatory syndrome, leukopenia at 3400/mm3, neutropenia at 1900/mm3, and lymphopenia at 1140/mm3 with no other abnormalities. The abdominal ultrasound and computed tomography objectified multiple large, hypoechoic, and richly vascularized on Doppler mesenteric lymph node compatible with the diagnosis of AML. Subsequent investigations concluded to SLE. The patient was treated with systemic glucocorticoids and hydroxychloroquine with favorable outcome. No recurrence has been noted for two years.
format	article
author	Salem Bouomrani Ines Lamloum
author_facet	Salem Bouomrani Ines Lamloum
author_sort	Salem Bouomrani
title	Acute mesenteric lymphadenitis revealing systemic lupus erythematosus
title_short	Acute mesenteric lymphadenitis revealing systemic lupus erythematosus
title_full	Acute mesenteric lymphadenitis revealing systemic lupus erythematosus
title_fullStr	Acute mesenteric lymphadenitis revealing systemic lupus erythematosus
title_full_unstemmed	Acute mesenteric lymphadenitis revealing systemic lupus erythematosus
title_sort	acute mesenteric lymphadenitis revealing systemic lupus erythematosus
publisher	Emergency Department of Hospital San Pedro (Logroño, Spain)
publishDate	2020
url	https://doaj.org/article/46e31db41fe746bc8690f3e169f363eb
work_keys_str_mv	AT salembouomrani acutemesentericlymphadenitisrevealingsystemiclupuserythematosus AT ineslamloum acutemesentericlymphadenitisrevealingsystemiclupuserythematosus
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Acute mesenteric lymphadenitis revealing systemic lupus erythematosus

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