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. 1994 Jun;35(6):841–843. doi: 10.1136/gut.35.6.841

Gastric outlet obstruction as a presenting manifestation of systemic lupus erythematosus.

E F Posthuma 1, P Warmerdam 1, M P Chandie Shaw 1, F C Breedveld 1, J D Macfarlane 1, A van der Sluys Veer 1, C B Lamers 1
PMCID: PMC1374891  PMID: 8020816

Abstract

A patient with nausea and vomiting who subsequently proved to have systemic lupus erythematosus is described. Although gastrointestinal involvement is common in systemic lupus erythematosus it is rare as an initial manifestation. Gastric outlet obstruction was shown on the air contrast examination while the mucosa at endoscopy was normal. The gastric symptoms regressed after treatment with high dose corticosteroids and a repeat air contrast examination of the stomach was normal. This stricturing process may have been caused by a local peritonitis.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. BROWN C. H., HASERICK J. R., SHIREY E. K. Gastrointestinal manifestations of systemic lupus erythematosus. Gastroenterology. 1956 Dec;31(6):649-64; discussion, 664-6. [PubMed] [Google Scholar]
  2. Hoffman B. I., Katz W. A. The gastrointestinal manifestations of systemic lupus erythematosus: a review of the literature. Semin Arthritis Rheum. 1980 May;9(4):237–247. doi: 10.1016/0049-0172(80)90016-5. [DOI] [PubMed] [Google Scholar]
  3. Peppercorn M. A., Docken W. P., Rosenberg S. Esophageal motor dysfunction in systemic lupus erythematosus. Two cases with unusual features. JAMA. 1979 Oct 26;242(17):1895–1896. [PubMed] [Google Scholar]
  4. Schwartz T. W., Holst J. J., Fahrenkrug J., Jensen S. L., Nielsen O. V., Rehfeld J. F., de Muckadell O. B., Stadil F. Vagal, cholinergic regulation of pancreatic polypeptide secretion. J Clin Invest. 1978 Mar;61(3):781–789. doi: 10.1172/JCI108992. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Shapeero L. G., Myers A., Oberkircher P. E., Miller W. T. Acute reversible lupus vasculitis of the gastrointestinal tract. Radiology. 1974 Sep;112(3):569–574. doi: 10.1148/112.3.569. [DOI] [PubMed] [Google Scholar]
  6. Tan E. M., Cohen A. S., Fries J. F., Masi A. T., McShane D. J., Rothfield N. F., Schaller J. G., Talal N., Winchester R. J. The 1982 revised criteria for the classification of systemic lupus erythematosus. Arthritis Rheum. 1982 Nov;25(11):1271–1277. doi: 10.1002/art.1780251101. [DOI] [PubMed] [Google Scholar]

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