Ischemic Colitis in a Patient With Systemic Lupus Erythematosus: Case Report and Review of Literature

Abstract

Ischemic colitis is an uncommon complication in patients with systemic lupus erythematosus (SLE). In previously reported cases of colitis caused by SLE, intestinal vasculitis is implicated as the causative process, but is rarely confirmed histologically. We described a case of a 57-year-old African American woman who presented with abdominal pain due to ischemic colitis with small vessel vasculitis which was proven by colonoscopy with biopsy. The clinical course of the patient was improved with conservative management and discontinuation of immunosuppressive agents.




J Med Cases. 2014;5(5):292-294
doi: http://dx.doi.org/10.14740/jmc1759w