TY - JOUR
T1 - Hemorrhagic shock revealing multiple digestive microaneurysms in a patient with systemic lupus erythematosus
T2 - Case report and literature review
AU - Anquetil, C.
AU - Stavris, C.
AU - Chanson, N.
AU - Lambert, M.
AU - Hachulla, E.
AU - Launay, D.
AU - Hatron, P. Y.
N1 - Publisher Copyright:
© 2016 Société Nationale Française de Médecine Interne (SNFMI)
PY - 2017/1/1
Y1 - 2017/1/1
N2 - Introduction The vascular disorders in systemic lupus erythematosus (SLE) result from various mechanisms and presentations (inflammatory disease or vasculitis, atherosclerosis). Case report We report on a 34-year-old man with cutaneous, articular, neurological and nephrologic SLE. He presented with catastrophic haemorrhage on microaneurysm rupture of the left hepatic artery. After blood transfusions and immunosuppressive treatments, his condition improves. Conclusion Uncommon complication in SLE patients, digestive vasculitis with microaneurysms may occur as in polyarteritis nodosa. In the literature, we identified 10 additional cases of hepatic microaneurysms in SLE patients. The main issue is an earlier diagnosis in order to give appropriate treatment and improve prognosis.
AB - Introduction The vascular disorders in systemic lupus erythematosus (SLE) result from various mechanisms and presentations (inflammatory disease or vasculitis, atherosclerosis). Case report We report on a 34-year-old man with cutaneous, articular, neurological and nephrologic SLE. He presented with catastrophic haemorrhage on microaneurysm rupture of the left hepatic artery. After blood transfusions and immunosuppressive treatments, his condition improves. Conclusion Uncommon complication in SLE patients, digestive vasculitis with microaneurysms may occur as in polyarteritis nodosa. In the literature, we identified 10 additional cases of hepatic microaneurysms in SLE patients. The main issue is an earlier diagnosis in order to give appropriate treatment and improve prognosis.
KW - Hemorrhagic shock
KW - Microaneurysms
KW - Systemic lupus erythematosus
KW - Vasculitis
UR - http://www.scopus.com/inward/record.url?scp=84962317306&partnerID=8YFLogxK
U2 - 10.1016/j.revmed.2016.02.020
DO - 10.1016/j.revmed.2016.02.020
M3 - Article
C2 - 27036226
AN - SCOPUS:84962317306
SN - 0248-8663
VL - 38
SP - 56
EP - 60
JO - Revue de Medecine Interne
JF - Revue de Medecine Interne
IS - 1
ER -