Polyserositis and Acute Acalculous Cholecystitis: An Uncommon Manifestation of Undiagnosed Systemic Lupus Erythematosus
Identifieur interne : 000933 ( Ncbi/Merge ); précédent : 000932; suivant : 000934Polyserositis and Acute Acalculous Cholecystitis: An Uncommon Manifestation of Undiagnosed Systemic Lupus Erythematosus
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- Cureus [ 2168-8184 ] ; ????.
Abstract
Systemic lupus erythematosus (SLE) is a common systemic disease in the rheumatologic field. Serositis and gastrointestinal symptoms are common manifestations of SLE; however, polyserositis concurrently with acute acalculous cholecystitis is a rare and usually underestimated entity that can be associated with SLE. Medical treatment with steroids is efficacious and, in most instances, cholecystectomy can be avoided. We present the case of a young female patient with polyserositis and acute acalculous cholecystitis secondary to undiagnosed SLE, who eventually required surgical laparoscopic intervention and improved with immunosuppressive treatment.
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DOI: 10.7759/cureus.4899
PubMed: 31423378
PubMed Central: 6689476
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Serositis and gastrointestinal symptoms are common manifestations of SLE; however, polyserositis concurrently with acute acalculous cholecystitis is a rare and usually underestimated entity that can be associated with SLE. Medical treatment with steroids is efficacious and, in most instances, cholecystectomy can be avoided. We present the case of a young female patient with polyserositis and acute acalculous cholecystitis secondary to undiagnosed SLE, who eventually required surgical laparoscopic intervention and improved with immunosuppressive treatment.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Tsokos, G" uniqKey="Tsokos G">G Tsokos</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gladman, D" uniqKey="Gladman D">D Gladman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Massarotti, E" uniqKey="Massarotti E">E Massarotti</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Crow, Mk" uniqKey="Crow M">MK Crow</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wallace, D" uniqKey="Wallace D">D Wallace</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tian, Xp" uniqKey="Tian X">XP Tian</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fawzy, M" uniqKey="Fawzy M">M Fawzy</name></author><author><name sortKey="Edrees, A" uniqKey="Edrees A">A Edrees</name></author><author><name sortKey="Okasha, H" uniqKey="Okasha H">H Okasha</name></author><author><name sortKey="El Ashmaui, A" uniqKey="El Ashmaui A">A El Ashmaui</name></author><author><name sortKey="Ragab, G" uniqKey="Ragab G">G Ragab</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mok, C" uniqKey="Mok C">C Mok</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Adiga, A" uniqKey="Adiga A">A Adiga</name></author><author><name sortKey="Nugent, K" uniqKey="Nugent K">K Nugent</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zheng, Rh" uniqKey="Zheng R">RH Zheng</name></author><author><name sortKey="Wang, Jh" uniqKey="Wang J">JH Wang</name></author><author><name sortKey="Wang, Sb" uniqKey="Wang S">SB Wang</name></author><author><name sortKey="Chen, J" uniqKey="Chen J">J Chen</name></author><author><name sortKey="Guan, Wm" uniqKey="Guan W">WM Guan</name></author><author><name sortKey="Chen, Mh" uniqKey="Chen M">MH Chen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sebode, M" uniqKey="Sebode M">M Sebode</name></author><author><name sortKey="Hartl, J" uniqKey="Hartl J">J Hartl</name></author><author><name sortKey="Vergani, D" uniqKey="Vergani D">D Vergani</name></author><author><name sortKey="Lohse, Aw" uniqKey="Lohse A">AW Lohse</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Matsumoto, T" uniqKey="Matsumoto T">T Matsumoto</name></author><author><name sortKey="Kobayashi, S" uniqKey="Kobayashi S">S Kobayashi</name></author><author><name sortKey="Shimizu, H" uniqKey="Shimizu H">H Shimizu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Afdhal, N" uniqKey="Afdhal N">N Afdhal</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Al Hakeem, M" uniqKey="Al Hakeem M">M Al-Hakeem</name></author><author><name sortKey="Mcmillen, Ma" uniqKey="Mcmillen M">MA McMillen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yang, H" uniqKey="Yang H">H Yang</name></author><author><name sortKey="Bian, S" uniqKey="Bian S">S Bian</name></author><author><name sortKey="Xu, D" uniqKey="Xu D">D Xu</name></author><author><name sortKey="Zhang, F" uniqKey="Zhang F">F Zhang</name></author><author><name sortKey="Zhang, X" uniqKey="Zhang X">X Zhang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mohpatra, S" uniqKey="Mohpatra S">S Mohpatra</name></author><author><name sortKey="Goldstein, Dr" uniqKey="Goldstein D">DR Goldstein</name></author><author><name sortKey="Kumar, A" uniqKey="Kumar A">A Kumar</name></author><author><name sortKey="Saha, T" uniqKey="Saha T">T Saha</name></author><author><name sortKey="Penigalapati, D" uniqKey="Penigalapati D">D Penigalapati</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="case-report"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Cureus</journal-id><journal-id journal-id-type="iso-abbrev">Cureus</journal-id><journal-id journal-id-type="issn">2168-8184</journal-id><journal-title-group><journal-title>Cureus</journal-title></journal-title-group><issn pub-type="epub">2168-8184</issn><publisher><publisher-name>Cureus</publisher-name><publisher-loc>Palo Alto (CA)</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">31423378</article-id><article-id pub-id-type="pmc">6689476</article-id><article-id pub-id-type="doi">10.7759/cureus.4899</article-id><article-categories><subj-group subj-group-type="heading"><subject>Internal Medicine</subject></subj-group><subj-group><subject>Gastroenterology</subject></subj-group><subj-group><subject>Rheumatology</subject></subj-group></article-categories><title-group><article-title>Polyserositis and Acute Acalculous Cholecystitis: An Uncommon Manifestation of Undiagnosed Systemic Lupus Erythematosus</article-title></title-group><contrib-group><contrib contrib-type="editor"><name><surname>Muacevic</surname><given-names>Alexander</given-names></name></contrib><contrib contrib-type="editor"><name><surname>Adler</surname><given-names>John R</given-names></name></contrib></contrib-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Obreja</surname><given-names>Elena I</given-names></name><xref ref-type="aff" rid="aff-166031">1</xref></contrib><contrib contrib-type="author"><name><surname>Salazar</surname><given-names>Carlos</given-names></name><xref ref-type="aff" rid="aff-166031">1</xref></contrib><contrib contrib-type="author"><name><surname>Torres</surname><given-names>Daniel G</given-names></name><xref ref-type="aff" rid="aff-166199">2</xref></contrib></contrib-group><aff id="aff-166031"><label>1</label> Internal Medicine, Louis A. Weiss Memorial Hospital Affiliate of the University of Illinois at Chicago, Chicago, USA</aff><aff id="aff-166199"><label>2</label> Rheumatology, Louis A. Weiss Memorial Hospital Affiliate of the University of Illinois at Chicago, Chicago, USA</aff><author-notes><corresp id="cor1">Elena I. Obreja <email>eobreja@weisshospital.com</email></corresp></author-notes><pub-date date-type="pub" publication-format="electronic"><day>14</day><month>6</month><year>2019</year></pub-date><pub-date date-type="collection" publication-format="electronic"><month>6</month><year>2019</year></pub-date><volume>11</volume><issue>6</issue><elocation-id>e4899</elocation-id><history><date date-type="received"><day>24</day><month>5</month><year>2019</year></date><date date-type="accepted"><day>13</day><month>6</month><year>2019</year></date></history><permissions><copyright-statement>Copyright © 2019, Obreja et al.</copyright-statement><copyright-year>2019</copyright-year><copyright-holder>Obreja et al.</copyright-holder><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/3.0/"><license-p>This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</license-p></license></permissions><self-uri xlink:href="https://www.cureus.com/articles/20242-polyserositis-and-acute-acalculous-cholecystitis-an-uncommon-manifestation-of-undiagnosed-systemic-lupus-erythematosus">This article is available from https://www.cureus.com/articles/20242-polyserositis-and-acute-acalculous-cholecystitis-an-uncommon-manifestation-of-undiagnosed-systemic-lupus-erythematosus</self-uri><abstract><p>Systemic lupus erythematosus (SLE) is a common systemic disease in the rheumatologic field. Serositis and gastrointestinal symptoms are common manifestations of SLE; however, polyserositis concurrently with acute acalculous cholecystitis is a rare and usually underestimated entity that can be associated with SLE. Medical treatment with steroids is efficacious and, in most instances, cholecystectomy can be avoided. We present the case of a young female patient with polyserositis and acute acalculous cholecystitis secondary to undiagnosed SLE, who eventually required surgical laparoscopic intervention and improved with immunosuppressive treatment.</p></abstract><kwd-group kwd-group-type="author"><kwd>sle</kwd><kwd>acute acalculous cholecystitis</kwd><kwd>transaminitis</kwd><kwd>rare manifestation</kwd><kwd>polyserositis</kwd><kwd>lupus</kwd><kwd>autoimmunity</kwd><kwd>gall bladder</kwd><kwd>pleural effusion</kwd><kwd>pericardial effusion</kwd></kwd-group></article-meta><notes><p content-type="disclaimer">The content published in Cureus is the result of clinical experience and/or research by independent individuals or organizations. Cureus is not responsible for the scientific accuracy or reliability of data or conclusions published herein. All content published within Cureus is intended only for educational, research and reference purposes. Additionally, articles published within Cureus should not be deemed a suitable substitute for the advice of a qualified health care professional. Do not disregard or avoid professional medical advice due to content published within Cureus.</p></notes></front></pmc><affiliations><list></list><tree></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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