Massive and painful ascites as a presenting manifestation of systemic lupus erythematosus flare: a case report and literature review

Lupus peritonitis (LP) is extremely rare. Acute LP is characterized by rapid onset of ascites and severe abdominal pain, in addition to other well-recognized clinical features of a general systemic lupus erythematosus (SLE) fare. Ascites associated with acute LP has been rarely reported as the promi...

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Autores principales:	Zhou,Lei, Ming Sun,Chen, Li Chen,Wen, Zhang,Heng, Wang,Ping, Wu,Jie
Lenguaje:	English
Publicado:	Sociedad Médica de Santiago 2014
Materias:	Lupus erythematosus systemic Ascites Peritonitis
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000200016
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spelling	oai:scielo:S0034-988720140002000162014-08-18Massive and painful ascites as a presenting manifestation of systemic lupus erythematosus flare: a case report and literature reviewZhou,LeiMing Sun,ChenLi Chen,WenZhang,HengWang,PingWu,Jie Lupus erythematosus systemic Ascites Peritonitis Lupus peritonitis (LP) is extremely rare. Acute LP is characterized by rapid onset of ascites and severe abdominal pain, in addition to other well-recognized clinical features of a general systemic lupus erythematosus (SLE) fare. Ascites associated with acute LP has been rarely reported as the prominent feature of a SLE fare. We report a 39-year-old woman who developed massive, painful ascites as the presenting manifestation of a SLE fare. Diagnostic workup ruled out the possibility of hepatic, cardiovascular, infectious, or malignant diseases, and confirmed the presence of a SLE fare. The patient was treated with methyl prednisolone and hydroxychloroquine resulting in dramatic improvement of her condition. During ambulatory follow up, she has remained asymptomatic up to the moment of this writing. Adrenal steroids and hydrocychloroquine may be useful for the management of SLE fares in patients with massive, painful ascites due to acute LP.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.142 n.2 20142014-02-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000200016en10.4067/S0034-98872014000200016
institution	Scielo Chile
collection	Scielo Chile
language	English
topic	Lupus erythematosus systemic Ascites Peritonitis
spellingShingle	Lupus erythematosus systemic Ascites Peritonitis Zhou,Lei Ming Sun,Chen Li Chen,Wen Zhang,Heng Wang,Ping Wu,Jie Massive and painful ascites as a presenting manifestation of systemic lupus erythematosus flare: a case report and literature review
description	Lupus peritonitis (LP) is extremely rare. Acute LP is characterized by rapid onset of ascites and severe abdominal pain, in addition to other well-recognized clinical features of a general systemic lupus erythematosus (SLE) fare. Ascites associated with acute LP has been rarely reported as the prominent feature of a SLE fare. We report a 39-year-old woman who developed massive, painful ascites as the presenting manifestation of a SLE fare. Diagnostic workup ruled out the possibility of hepatic, cardiovascular, infectious, or malignant diseases, and confirmed the presence of a SLE fare. The patient was treated with methyl prednisolone and hydroxychloroquine resulting in dramatic improvement of her condition. During ambulatory follow up, she has remained asymptomatic up to the moment of this writing. Adrenal steroids and hydrocychloroquine may be useful for the management of SLE fares in patients with massive, painful ascites due to acute LP.
author	Zhou,Lei Ming Sun,Chen Li Chen,Wen Zhang,Heng Wang,Ping Wu,Jie
author_facet	Zhou,Lei Ming Sun,Chen Li Chen,Wen Zhang,Heng Wang,Ping Wu,Jie
author_sort	Zhou,Lei
title	Massive and painful ascites as a presenting manifestation of systemic lupus erythematosus flare: a case report and literature review
title_short	Massive and painful ascites as a presenting manifestation of systemic lupus erythematosus flare: a case report and literature review
title_full	Massive and painful ascites as a presenting manifestation of systemic lupus erythematosus flare: a case report and literature review
title_fullStr	Massive and painful ascites as a presenting manifestation of systemic lupus erythematosus flare: a case report and literature review
title_full_unstemmed	Massive and painful ascites as a presenting manifestation of systemic lupus erythematosus flare: a case report and literature review
title_sort	massive and painful ascites as a presenting manifestation of systemic lupus erythematosus flare: a case report and literature review
publisher	Sociedad Médica de Santiago
publishDate	2014
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000200016
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Massive and painful ascites as a presenting manifestation of systemic lupus erythematosus flare: a case report and literature review

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