DOI: http://dx.doi.org/10.18203/2349-3933.ijam20151024

A rare case of systemic lupus erythromatosus with acalculous cholecystitis as its first presenting feature

Shivani A. Patel, Karan R. Kumar

Abstract


SLE is an autoimmune disease of multisystem involvement primarily involving skin, kidney and joints. GI involvement is not a common feature of SLE, though acalculous cholecystitis (AAC) has been reported in patient with SLE. Most of the previous cases of AAC (with SLE) reported had occurred in diagnosed cases of SLE. We are hereby reporting a case of AAC diagnosed simultaneously with SLE. The patient responded to treatment with immunosuppresion with cyclophospamide.


Keywords


Systemic lupus erythromatosus, Anti-nuclear antibody, Acalculous cholecystitis

Full Text:

PDF

References


Barie PS, Fischer E. Acute acalculous cholecystitis. J Am Coll Surg. 1995;180:232-44.

Mark Feldman, Lawrence S. Friedman, Lawrence J. Brandt. Acalculous cholecystitis. In: Mark Feldman, Lawrence S. Friedman, Lawrence J. Brandt, eds. Sleisinger and Fortrans Gastrointestinal and Liver Disease. Philadelphia: Saunders; 9th ed. 2010: 1141.

Kamimura T, Mimori A, Takeda A, Masuyama J, Yoshio T, Okazaki H, et al. Acute acalculous cholecystitis in systemic lupus erythematosus: a case report and review of the literature. Lupus. 1998;7:361-3.

Babb RR. Acute acalculous cholecystitis - a review. J Clin Gastroenterol. 1992;15(3):238-41.

Savoca PE, Longo WE, Pasternak B, Gusberg RJ. Does visceral ischemia role in the pathogenesis of acute acalculous cholecystitis? J Clin Gastroenterol. 1990;12(1):33-6.

Dan Longo, Anthony Fauci, Dennis Kasper, Stephen Hauser, J. Jameson, Joseph Loscalzo. SLE. In: Dan Longo, Anthony Fauci, Dennis Kasper, Stephen Hauser, J. Jameson, Joseph Loscalzo, eds. Harrison Principal of Internal Medicine. New York: McGraw-Hill Professional; 18th ed. 2011: 2724.

Shin SJ, Na KS, Jung SS, Bae SC, Yoo DH, Kim SY, et al. Acute acalculous cholecystitis associated with systemic lupus erythematosus with Sjogren’s syndrome. Korean J Intern Med. 2002;17:61-4.

Mark Feldman, Lawrence S. Friedman, Lawrence J. Brandt. AAC with SLE. In: Mark Feldman, Lawrence S. Friedman, Lawrence J. Brandt, eds. Sleisinger and Fortrans Gastrointestinal and Liver Disease. Philadelphia: Saunders; 9th ed. 2010: 1143.