Wednesday, March 26, 2008

Performance of the gastrointestinal tract lupus erythematosus

Systemic lupus erythematosus (SLE) is the organ involved systemic autoimmune disease, clinical manifestations variety, part of which patients can be expressed as gastrointestinal symptoms, as indicated gastrointestinal bleeding, blood in the stool, ascites, paralytic ileus , which is due to the gastrointestinal tract caused by vasculitis, such as mesenteric vasculitis. Mesenteric vascular artery and vein accompanied, unencumbered nutrition and gastrointestinal function, such as a disease, is dominated by the location to produce symptoms, serious involvement life, and we should be attention. Mesenteric vasculitis can cause gastrointestinal mucosal ulceration, small intestine and colon edema, obstruction, hemorrhage, ascites, abdominal pain, abdominal distension, diarrhea and hematochezia and black excrement, paralytic ileus, and other clinical manifestations. If not timely diagnosis, treatment, necrosis can be caused by intestinal perforation, causing serious consequences. We also found that some patients, especially women, the past there was no history of SLE, and the gastrointestinal tract symptoms as the first performance, the final diagnosis only after repeated treatment for SLE. This gives us a reminder: a young woman of unknown causes and abdominal pain, diarrhea and hematochezia, black excrement and other symptoms, as other treatments ineffective, in particular with ascites and peripheral vascular inflammation performance must be highly doubt the possibility of SLE. SLE paralytic ileus lesions mostly in the ileocecal, and this may be part of the lymphoid tissue and blood vessels than the rich, slow food through the antigen antibody in this position easily produces an immune response caused autoimmune phenomena. Mesenteric vasculitis generally only conservative treatment, hormone therapy, and hormone caused to the gastrointestinal tract reaction identification, endoscopy through the biopsy can identify. In case of intestinal necrosis, piercing will have surgery, but the surgery more risky. So early identification SLE caused by gastrointestinal lesions important. 

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