AI Article Synopsis
- * She developed symptoms including anal pain, diarrhea, and bloody stools, leading to a colonoscopy that revealed multiple ulcers in the colon.
- * After a suspected diagnosis of lupus enteritis, the patient was treated with endoxan pulse therapy, resulting in rapid symptom improvement and the disappearance of ulcers confirmed by endoscopy.
Article Abstract
The patient was a 62-year-old woman. She had been treated for systemic lupus erythematosus (SLE) for 15 years and had a stable clinical course with cyclosporine, prednisolone, and ticlopidine. She experienced anal pain, diarrhea, and bloody stools for four months. Colonoscopy showed scattered large and small punchedout ulcers in the colon and deep longitudinal ulcers in the sigmoid colon. Blood test results indicated low SLE activity. Culture of mucosal biopsy did not reveal any findings. Computed tomography showed intestinal membrane arteriovenous dilatation (comb sign), therefore lupus enteritis was suspected. After initiating endoxan pulse therapy, symptoms improved rapidly. Disappearance of ulcers was confirmed by endoscopic images.
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