Subacute abdominal pain requiring hospitalization in a systemic lupus erythematosus patient: a retrospective analysis and review of the literature

Buck, A. C., Serebro, L. H. and Quinet, R. J. (2001) Subacute abdominal pain requiring hospitalization in a systemic lupus erythematosus patient: a retrospective analysis and review of the literature. Lupus, 10 7: 491-495. doi:10.1191/096120301678416051


Author Buck, A. C.
Serebro, L. H.
Quinet, R. J.
Title Subacute abdominal pain requiring hospitalization in a systemic lupus erythematosus patient: a retrospective analysis and review of the literature
Journal name Lupus   Check publisher's open access policy
ISSN 0961-2033
1477-0962
Publication date 2001
Sub-type Article (original research)
DOI 10.1191/096120301678416051
Volume 10
Issue 7
Start page 491
End page 495
Total pages 5
Place of publication London, United Kingdom
Publisher Sage
Language eng
Abstract In the systemic lupus erythematosus (SLE) patient, abdominal pain is a common problem. Intra-abdominal vasculitis must be excluded as the source because of its potentially high mortality rate. We retrospectively reviewed the charts of 56 SLE patients with 75 admissions for predominantly subacute abdominal pain (abdominal pain without peritoneal signs) severe enough to require hospital admission, comparing the diagnostic modalities used, ultimate diagnoses, and use of corticosteroids before admission with 56 age- and sex-matched patients without SLE admitted for abdominal pain during the same time interval. SLE patients were further subdivided by disease activity at presentation using the SELENA SLEDAI score. The in-hospital mortality for all patients in this review was 0%. There were no statistically significant differences in the use of computed tomography between SLE and control patients. Intestinal vasculitis was diagnosed in 5.4% of SLE patients compared with 0% of control patients (P = 0.0433). Only patients with SLEDAI scores >8 developed vasculitis (P < 0.00!). We recommend the routine use of computed tomography to diagnose vasculitis only in patients with SLEDAI scores >8 and subacute abdominal pain. All SLE patients with SLEDAI scores ≤8 and subacute abdominal pain should be evaluated for a cause of abdominal pain other than vasculitis.
Keyword Abdominal pain
Systemic lupus erythematosus
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
 
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Created: Mon, 14 Mar 2011, 09:57:12 EST