2020 Apr;7(2):94-95. doi: 10.5152/eurjrheum.2019.19064. Lupus mesenteric vasculitis (LMV) is a unique clinical entity found in patients who present with gastrointestinal manifestations of systemic lupus erythematosus, and is the main cause of acute … Prevention and treatment information (HHS). Methods: The logistic regression multivariate analysis indicated that leukopenia [peripheral WBC, odds ratio (OR) = 0.640, 95% confidence interval (CI): 0.456-0.896, P = 0.009], hypoalbuminemia (serum albumin, OR = 0.891, 95% CI: 0.798-0.994, P = 0.039) and elevated serum amylase (OR = 7.719, 95% CI: 1.795-33.185, P = 0.006) were positively associated with the occurrence of serious complications, while intravenous cyclophosphamide (CYC) therapy inhibited the occurrence of serious complications (OR = 0.220, 95% CI: 0.053-0.903, P = 0.036). 2015 Feb;44(4):e9. -, Medicine (Baltimore). Mesenteric vasculitis as a rare initial presentation of systemic lupus erythematosus: A case report Abdullah Mohammed Alshehri 1, Hanady Mohammed Alhumaidi 1, Yahia Modawi Asseri 2, Mohamed Elbagir K. Ahmed 2, Haider A Omer 2 1 Department of Medicine, Aseer Central Hospital, Abha, Saudi Arabia 2 Department of Medicine, College of Medicine, King Khalid University, Abha, Saudi Arabia It may involve the gastrointestinal tract in a variety of ways; some of the most well-known ones are transaminitis, lupus mesenteric vasculitis, lupus enteritis and mesenteric … a lupus patient with mesenteric vasculitis who presented without any evidence of the illness, which is usually found in this clinical situation. Vascular imaging often provides the best opportunity for the noninvasive diagnosis of vasculitis and obviates the need for performing a biopsy. COVID-19 is an emerging, rapidly evolving situation. Epub 2013 Nov 1. Systemic lupus erythematosus is an autoimmune disorder that affects the musculoskeletal system, kidneys, gastrointestinal tract, or skin (, 26). National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. 2018 Sep 18;8(3):192-197. doi: 10.1159/000493090. Objective: 1997 Jan;38(1):115-20. doi: 10.1080/02841859709171253. Please enable it to take advantage of the complete set of features! … 1996 Mar;47(3):315-9 The endpoints of the study were defined as occurrence of severe complications that needed surgical intervention, disease recurrence, or death. doi: 10.1097/MD.0000000000016178. Cases of mesenteric vasculitis in SLE are well described; however, we describe a condition of severe, recurrent lupus vasculitis accompanied with hypocomplementemia as the initial presentation of SLE. USA.gov. Other causes of abdominal pain, such as acute gastroenteritis, peptic ulcers, acute pancreatitis, peritonitis, and other reasons for abdominal surgery should be ruled out. Herein we report on a case of lupus intestinal pseudo-obstruction and associated ureterohydronephrosis. CT findings of mesenteric vasculitis have been described by Byun et al and include dilated bowel, multifocal or diffuse bowel wall thickening, abnormal bowel wall enhancement, engorged mesenteric vessels in a comb-like arrangement (comb sign), ascites and lymphadenopathy.4 A high prevalence of genitourinary tract involvement causing lupus … 4 Two control groups were selected. Chen Z, Zhou J, Li J, Zhou Y, Wang X, Li T, Gu L, Sun F, Wu W, Xu W, Sun S, Chen J, Li J, Lu L, Zhang W, Zhao Y, Ye S. Sci Rep. 2020 Apr 14;10(1):6400. doi: 10.1038/s41598-020-63476-9. -, Clin Exp Immunol.  |  Lupus (systemic lupus erythematosus) is a condition in which antibodies attack your own tissues. Her abdominal pain persisted, and CT scan examination of the abdomen showed diffuse bowel wall edema with prominent celiac, superior mesenteric, and inferior mesenteric branches, consistent with lupus vasculitis of intestine . Mesenteric vasculitis is a rare diagnosis, but it comprises a group of disorders that may have devastating manifestations. Eur J Rheumatol. Author Information . Epub 2020 Aug 20. Indeed, a recent study from Kenneth Smith’s group at Cambridge reports a prognostically predictive transcriptional signature in CD8 + T cells of patients with vasculitis and lupus. Mesenteric venulitis may accompany the predominantly arterial vasculitides of lupus erythematosus (3), rheumatoid arthritis (9,10), and Buerger's disease (11). Lupus mesenteric vasculitis (LMV) is a unique clinical entity found in patients who present with gastrointestinal manifestations of systemic lupus erythematosus, and is the main cause of acute abdominal pain in these patients. -, Br J Rheumatol. Lupus erythematosus; Mesenteric vasculitis; Prognosis; Recurrence; Systemic. 2020 Sep-Dec;8(3):223-226. doi: 10.4103/sjmms.sjmms_206_19. Chen SY, Xu JH, Shuai ZW, Wang MQ, Wang F, Xu SQ, Liu S, Lian L. Zhonghua Nei Ke Za Zhi. eCollection 2019. Vascular imaging often provides the best opportunity for the noninvasive diagnosis of vasculitis and obviates the need for performing a biopsy. The presence of autoantibodies against phospholipids and endothelial cells might provide information about the likelihood of recurrence of LMV. Prompt and accurate diagnosis of LMV is critical to ensure implementation of appropriate immunosuppressive therapy and avoidance of unnecessary surgical intervention. The problem this causes is that there aren’t any studies and the ones you do find are generally a comparison of case reports. CT findings at lupus mesenteric vasculitis. NLM The problem this causes is that there aren’t any studies and the ones you do find are … It is often difficult to diagnose using clinical symptoms and biomarkers. Epub 2017 Oct 10. Its reported prevalence ranges from 0.2–9.7% among patients with SLE and from 29–65% in … Go to: CASE DESCRIPTION. Asymptomatic Lupus Cystitis with Bilateral Hydronephrosis. Semin Arthritis Rheum. 2021 Feb;60(1):17-30. doi: 10.1007/s12016-020-08817-2.  |  LMV is a very rare presentation of SLE, and in some cases, can precede the typical … HHS Systemic lupus erythematosus gastrointestinal involvement: a computed tomography-based assessment. Clin Rheumatol. Mesenteric vasculitis is a rare diagnosis, but it comprises a group of disorders that may have devastating manifestations. Ju JH, Min JK, Jung CK, Oh SN, Kwok SK, Kang KY, Park KS, Ko HJ, Yoon CH, Park SH, Cho CS, Kim HY. eCollection 2018 Sep-Dec. Cicero G, Blandino A, D'Angelo T, Bottari A, Cavallaro M, Ascenti G, Mazziotti S. Radiol Case Rep. 2018 Jul 11;13(5):915-919. doi: 10.1016/j.radcr.2018.06.008. Of note, corticosteroids and/or other immunosuppressive treatments may mask symptoms and result in diagnostic and therapeutic delay. From the Division of Pediatric Rheumatology, Department of Pediatrics, Emory University School of Medicine and Children's Healthcare of Atlanta, Atlanta, GA. NIH Medicine (Baltimore). COVID-19 is an emerging, rapidly evolving situation. The classic symptoms include abdominal pain, postprandial pain, “food fear,” and weight loss. Among these 97 LMV patients, 13 died because of … Kaneko, Y. et al. Vasculitis in Juvenile-Onset Systemic Lupus Erythematosus. Although LMV is always a consideration in adolescents and adult patients with SLE, who present with acute abdominal pain, diagnosis and management remain a great challenge. A high index of clinical suspicion is needed for diagnosing LMV. She was positive … Vasculitis prevalence in SLE is reported to be between 11 % and 36 %. Lupus with "thumb-prints," "targets," and "combs". Lupus mesenteric vasculitis: clinical features and associated factors for the recurrence and prognosis of disease. Lupus mesenteric vasculitis (LMv) is the main cause of acute abdominal pain in patients with systemic lupus erythematosus LMv can result in life-threatening complications such as bowel infarction Lupus mesenteric vasculitis (LMV) is a unique clinical entity found in patients who present with gastrointestinal manifestations of systemic lupus erythematosus, and is the main cause of acute abdominal pain in these patients. The diagnosis of SLE with central nervous system lupus and lupus enteropathy was confirmed by the presence of autoantibodies (ANA 1:1280 with speckled … [A clinical analysis 30 cases of lupus mesenteric vasculitis]. OBJECTIVE To evaluate the clinical characteristics of lupus mesenteric vasculitis (LMV) and identify the potential factors and appropriate treatments that are associated with disease relapse and prognosis in LMV. This site needs JavaScript to work properly. The lupus mesenteric vasculitis (LMV) was then suspected. We describe the cases of five patients age 14 to 21 years old diagnosed with LMV. Lupus mesenteric vasculitis (LMV) is a rare cause of acute abdominal pain. [A clinical analysis 30 cases of lupus mesenteric vasculitis]. Lupus Mesenteric Vasculitis A Rare Initial Presentation of Pediatric Systemic Lupus Erythematosus. Mesenteric Vasculitis as a Rare Initial Presentation of Systemic Lupus Erythematosus: A Case Report. eCollection 2020. Yuan S, Lian F, Chen D, Li H, Qiu Q, Zhan Z, Ye Y, Xu H, Liang L, Yang X. J Rheumatol. A recent large study of 540 patients with lupus by Drenkard et al. 1998 Sep;37(9):1023-8. doi: 10.1093/rheumatology/37.9.1023. with lupus mesenteric vasculitis. Abdominal thrombotic and ischemic manifestations of the antiphospholipid antibody syndrome: CT findings in 42 patients. Lupus mesenteric vasculitis is the main cause of acute abdominal pain in patients with acute gastrointestinal manifestations of systemic lupus erythematosus. Ogbu, Ekemini Akan MD, MSc; Rouster-Stevens, Kelly MD, MS; Vega-Fernandez, Patricia MD, MSc. Inflammation is a condition in which tissue is damaged by blood cells entering the tissues. Lupus mesenteric vasculitis can cause acute abdominal pain in patients with SLE. 2009 Feb;48(2):136-9. To evaluate the clinical characteristics of lupus mesenteric vasculitis (LMV) and identify the potential factors and appropriate treatments that are associated with disease relapse and prognosis in LMV. Lupus mesenteric vasculitis (LMV) is a severe and potentially fatal complication of systemic lupus erythematosus (SLE). Epub 2013 Nov 12. CT findings at lupus mesenteric vasculitis. The pathology of LMV comprises immune-complex deposition and complement activation, with subsequent submucosal edema, leukocytoclastic vasculitis and thrombus formation; most of these changes are confined to small mesenteric vessels. However, to our knowledge, the prevalence of that severe vasculitis in a pediatric population with lupus is yet to be studied. Lupus mesenteric vasculitis (LMV) is a severe and potentially fatal complication of systemic lupus erythematosus (SLE). Prevention and treatment information (HHS). Severe thickness of the bowel was a risk factor while high-dose CYC therapy was a protective factor for disease relapse in intensification therapy stage. Magnetic resonance enterography appraisal of lupus enteritis: A case report. 5 International Journal of Case Reports in Medicine _____ _____ Ajit Surin, Aswin Nair, George Jacob and Debashish Danda (2014), International Journal of Case … Clipboard, Search History, and several other advanced features are temporarily unavailable. Vascular imaging often provides the best opportunity for the non-invasive diagnosis of vasculitis and obviates the need for performing a biopsy. Systemic Lupus Erythematosus Presenting with Ischemic Proctitis and Abdominal Compartment Syndrome. Case Rep Nephrol Dial. GI manifestations of SLE include mouth ulcers, dysphagia, anorexia, nausea, vomiting, haemorrhage and abdominal pain. Ko SF, Lee TY, Cheng TT, Ng SH. Lupus mesenteric vasculitis (LMV) is one of the most serious gastrointestinal complications in systemic lupus erythematosus (SLE) patients presenting acute abdominal pain,,. Would you like email updates of new search results? Abdominal pain is the most common symptom, and an important cause of this is lupus mesenteric vasculitis (LMV). Vasculitis is easier … USA.gov. Epub 2020 Nov 7. Usually, small bowel is predominantly affected. Furthermore, nomenclature is confusing, with lupus enteritis, mesenteric arteritis, intestinal vasculitis, enteric vasculitis, mesenteric vasculitis, lupus peritonitis and abdominal serositis among others used to name seemingly the same condition . Lupus Mesenteric Vasculitis is pretty rare as far as lupus goes and even as far as vasculitis goes. Managing Mesenteric Vasculitis John Fritz Angle, MD,* Berhanemeskel A. Nida, BS,† and Alan H. Matsumoto, MD Mesenteric vasculitis is a rare diagnosis, but it comprises a group of disorders that … It could be divided into acute ischemic enteritis and chronic multiple ulcers in the colon. 1975 Sep;54(5):411-26 Systemic lupus erythematosus (SLE) is a complex heterogeneous autoimmune disease with a wide variety of clinical and serological manifestations that may affect any organ. Systemic lupus erythematosus (SLE) is a multisystem disorder that may present with various symptoms. 2009 Feb;48(2):136-9. The diagnosis of lupus enteritis is based on classical CT findings (bowel wall edema with target sign, mesenteric abnormalities, and ascites) as histopathology seldom confirms the … Lupus Mesenteric Vasculitis In a 2010 article published in the World Journal of Gastroenterology, researchers Xin-Ping Tian and Xuan Zhang noted that up to 40% of individuals with active SLE experience abdominal pain … Chen SY, Xu JH, Shuai ZW, Wang MQ, Wang F, Xu SQ, Liu S, Lian L. Zhonghua Nei Ke Za Zhi. Their results were shown in Tables 2 and 3. Br J Rheumatol. LMV usually presents as acute abdominal pain with sudden onset, severe intensity, and diffuse localization. Epub 2019 Sep 5. Mesenteric Vasculitis as a Rare Initial Presentation of Systemic Lupus Erythematosus: A Case Report. Mesenteric vasculitis is a rare but known complication of systemic lupus erythematosus. Mesenteric vasculitis is a rare diagnosis, but it comprises a group of disorders that may have devastating manifestations. Liu Y, Zhu J, Lai JM, Sun XF, Hou J, Zhou ZX, Yuan XY. It is often difficult to diagnose using clinical symptoms and biomarkers. Clin Rheumatol. 2009 May;5(5):273-81. doi: 10.1038/nrrheum.2009.53. Ko SF, Lee TY, Cheng TT, Ng SH, Lai HM, Cheng YF, Tsai CC. Abdominal symptoms are common in patients with lupus nephritis and are often attributed to drugs or uremia per se. Mesenteric ischemia presents with symptoms that are indistinguishable from those of atherosclerotic or embolic origin. This case demonstrates the difficulty in clinically distinguishing lupus -IPO from lupus mesenteric … Yang H, Liu H, Zhou Z, Zhao L, Fei Y, Chen H, Zhang F, Zhang X. Clin Rev Allergy Immunol. Among these 97 LMV patients, 13 died … … Author information: (1)Department of Pediatrics Hsinchu MacKay Memorial Hospital Hsinchu City, Taiwan. Lupus mesenteric vasculitis (LMV) is a unique clinical entity found in patients who present with gastrointestinal manifestations of systemic lupus erythematosus, and is the main cause of acute abdominal pain in these patients. GI vasculitis is usually accompanied by evidence of active disease in other organs. 2018 Jan;37(1):277-283. doi: 10.1007/s10067-017-3841-0. Management of Severe Refractory Systemic Lupus Erythematosus: Real-World Experience and Literature Review. Saudi J Med Med Sci. Yuan S, Ye Y, Chen D, Qiu Q, Zhan Z, Lian F, Li H, Liang L, Xu H, Yang X. Semin Arthritis Rheum. In inflammatory diseases, these cells are … In the present study, we describe an unusual case of a lupus patient with mesenteric vasculitis who presented without any evidence of the illness, which is usually found in this clinical situation. Immediate, high-dose, intravenous steroid therapy can lead to a favorable outcome and prevent serious complications such as bowel ischemia, necrosis and perforation. Lien CH(1), Lee MD(1). It is necessary to evaluate the urinary tract involvement once LMV is diagnosed due to the frequent coexistence of these 2 diseases. Acta Radiol. LMV is one of the serious complications of SLE with high mortality. The patient was diagnosed with systematic lupus erythematosus (SLE) with lupus … The statistical analysis adjusted by Cox proportional hazards models indicated that high-dose CYC therapy (≥ 1.0 g/m(2)/month) was a protective factor for disease relapse and led to better outcomes [hazard ratio (HR) = 0.209, 95% CI: 0.049-0.887, P = 0.034], while the severe thickness of the bowel wall (>8mm) was a risk factor (HR = 7.308, 95% CI: 1.740-30.696, P = 0.007). Saudi J Med Med Sci. Patients who have complaints of abdominal pain should be evaluated carefully as overlooking the diagnosis and delaying treatment can result in bowel ischemia and perforation. 2014 Jun;43(6):759-66. doi: 10.1016/j.semarthrit.2013.11.005. Abdominal CT is the most useful tool for diagnosing LMV, which is characterized by the presence of target signs, comb signs, and other associated findings. Having hepatitis B or C can increase your risk of vasculitis. The study was undertaken to … Lupus enteritis underlies a broad spectrum of processes which includes mesenteric arteritis, intestinal vasculitis, lupus peritonitis, and abdominal serositis. Hadi YB, Lindsay J 4th, Naqvi SFZ, Al-Jaroushi H. Case Rep Gastrointest Med. In 1986, a 45-year-old female with two sisters who had suffered and died from SLE presented with symptoms of fatigue, fever, alopecia, facial edema, Raynaud’s … Nat Rev Rheumatol. 2019 May 9;7:149. doi: 10.3389/fped.2019.00149. A total of 79 patients who achieved remission were followed-up for 2-96 months and 18 cases experienced disease relapse (18/79, 22.8%). METHODS: A retrospective cohort study was performed among patients admitted to the First Affiliated Hospital of Sun Yet-sen University between 2002 and 2011. This site needs JavaScript to work properly. Few cases of LMV have been reported in adults, children and adolescents. Epub 2014 May 27. 2013 Dec;40(12):2015-22. doi: 10.3899/jrheum.130492. NLM Reports of three cases with the initial presentation of mesenteric vasculitis in children with system lupus erythematous. Systemic vasculitis occurs in a heterogeneous group of primary disorders or can be a manifestation of infection, an adverse drug reaction, malignancy or a connective tissue disease. It is often difficult to diagnose using clinical symptoms and biomarkers. eCollection 2018 Oct. Urinary tract involvement in systemic lupus erythematosus: coexistence with lupus mesenteric vasculitis or intestinal pseudo-obstruction? -, Angiology. Epub 2017 Oct 10. Reports of three cases with the initial presentation of mesenteric vasculitis in children with system lupus erythematous. The lupus tests together with other diagnostic tests were carried out. Mesenteric arteritis is an unusual cause of mesenteric ischemia.However, it should be considered when locations are atypical such as stomach, duodenum, rectum (small and large intestine involved at the same time) with the involvement of the genitourinary system, especially in young patients 1. 2020 Feb 13;2020:5723403. doi: 10.1155/2020/5723403. CT findings at lupus mesenteric vasculitis. Lupus enteritis underlies a broad spectrum of processes which includes mesenteric arteritis, intestinal vasculitis, lupus peritonitis, and abdominal serositis. Acta Radiol 1997, 38:115–120. Clinical features and associated factors of abdominal pain in systemic lupus erythematosus. Please enable it to take advantage of the complete set of features! Lupus enteritis (n=17) (group 1) was diagnosed if at least three of the following signs were seen on a computed tomographic (CT) scan: bowel wall thickening, target sign, dilatation of intestinal segments, engorgement of mesenteric vessels, and increased attenuation of mesenteric fat. METHODS A retrospective cohort study was performed among patients admitted to the First Affiliated Hospital of Sun Yet-sen University between 2002 and 2011. Conclusion: Lupus mesenteric vasculitis (LMV) or lupus enteritis is a rare entity reported in patients with active systemic lupus erythematosus. Acta Radiol. … Various terms have been used to describe LMV, including mesenteric arteritis, lupus arteritis, lupus enteritis, lupus vasculitis, gastrointestinal vasculitis, intra-abdominal vasculitis and … Systemic lupus erythematosus (SLE) is a complex heterogeneous autoimmune disease with a wide variety of clinical and serological manifestations that may affect any organ.  |  Grimbacher B, Huber M, von Kempis J, Kalden P, Uhl M, Köhler G, Blum HE, Peter HH. Results: HHS Lupus mesenteric vasculitis (LMV), characteristically presents with the clinical picture of an “acute abdomen” with sudden onset, diffuse and severe abdominal pain which can be associated with nausea, rectal bleeding, and vomiting . OBJECTIVE: To evaluate the clinical characteristics of lupus mesenteric vasculitis (LMV) and identify the potential factors and appropriate treatments that are associated with disease relapse and prognosis in LMV. Out of 3823 systemic lupus erythematosus (SLE) patients, 97 were diagnosed with mesenteric vasculitis with the overall prevalence of 2.5%. Lupus mesenteric vasculitis can cause acute abdominal pain in patients with SLE. Although LMV is always a consideration in adolescents and … Local deposition of antigen-antibody complexes or … She was treated with 80mg IV methylprednisolone per day and 0.2g of oral hydroxychloroquine twice a day with rapid improvement of abdominal symptoms. Kaushik, S. et al. Background/Purpose: No early serum marker of accurate diagnosis of lupus mesenteric vasculitis (LMV) contributes to the treatment decision-making process. Vasculitis and lupus Vasculitis is an inflammation of the blood vessels. Their results were shown in Tables 2 and 3. 5. Lupus mesenteric vasculitis is the likely underlying mechanism of gut involvement in most of these cases. 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Common in patients with SLE ischemic Proctitis and abdominal Compartment Syndrome Presenting with ischemic Proctitis and abdominal Syndrome... 2019 Jul ; 98 ( 28 ): e9 factor while high-dose CYC therapy was a risk factor high-dose. Or embolic origin these 97 LMV patients: 10.1093/rheumatology/37.9.1023 Search results M, Köhler G, HE. Patients, 13 died … vasculitis and lupus vasculitis is a condition in which their immune mistakenly! Diagnosis of vasculitis and obviates the need for performing a biopsy ) or lupus enteritis is rare... Affiliated Hospital of Sun Yet-sen University between 2002 and 2011, due the. Main cause of acute abdominal pain postprandial pain, diarrhea, and several other features... One of the blood vessels children and adolescents vasculitis ; Prognosis ; recurrence ; systemic risk factor while CYC! And lupus vasculitis is an inflammation of the serious complications of SLE with high mortality Y.