Necrotizing mesenteric vasculitis in systemic lupus erythematosus

• Main Author: Lourenço, M. J.
• Publication Date: 2024
• Other Authors: Bento da Silva, A., Sousa, J., Oliveira, H., Silva, I., Costa, M., Branco, Jaime, Gonçalves, M. J.
• Format: Article
• Language: eng
• Source: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
• Download full: http://hdl.handle.net/10362/166255
• topic: Mesenteric; Necrosis; Shock; Systemic lupus erythematosus and autoimmunity; Vasculitis; Rheumatology

Systemic lupus erythematosus (SLE) is a multisystemic autoimmune disorder which may affect the gastrointestinal system. Half of patients with SLE experience gastrointestinal symptoms, with the most common being nausea, vomiting, anorexia, and abdominal pain. Mesenteric vasculitis is a severe and rare complication of SLE and one of the most frequent causes of severe acute abdominal pain. The authors present the case of a 57-year-old woman with SLE who was diagnosed with necrotizing mesenteric vasculitis following a urinary septic shock. The patient was treated with high-dose corticosteroid therapy and cyclophosphamide, with resolution of the clinical picture.