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Severe gastric ulcer as a first manifestation of systemic lupus erythematosus in a child

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11130%2F17%3A10374097" target="_blank" >RIV/00216208:11130/17:10374097 - isvavai.cz</a>

  • Alternative codes found

    RIV/00064203:_____/17:10374097

  • Result on the web

    <a href="https://doi.org/10.14735/amgh2017483" target="_blank" >https://doi.org/10.14735/amgh2017483</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.14735/amgh2017483" target="_blank" >10.14735/amgh2017483</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Severe gastric ulcer as a first manifestation of systemic lupus erythematosus in a child

  • Original language description

    Systemic lupus erythematosus (SLE) is an autoimmune disease with diverse clinical symptoms that can imitate a number of other diseases. It affects predominantly young women aged 20-40 years but cases diagnosed at a younger age are not unusual. We report a case of a young girl with failure to thrive and recurrent cystitis who presented abruptly with severe gastrointestinal manifestations requiring surgical treatment. Crohn&apos;s disease of the stomach was the most likely diagnosis, although no granuloma was found in tissue biopsies. In spite of intensive immunosuppressive therapy, complete healing of the deep stomach ulcers was not achieved. Five years after the disease manifestation, the patient developed lupus nephritis with autoimmune haemolytic anaemia and finally a diagnosis of SLE was established. Adequate therapeutic management of the disease consequently led to a significant improvement in the patient&apos;s clinical condition as well as laboratory results. This case report clearly points to the fact that in the case of atypical stomach ulcers, SLE must be considered in differential diagnosis. In addition, diagnosis of SLE may be extremely challenging, especially in cases with exclusive gastrointestinal and urinary symptoms.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>SC</sub> - Article in a specialist periodical, which is included in the SCOPUS database

  • CEP classification

  • OECD FORD branch

    30219 - Gastroenterology and hepatology

Result continuities

  • Project

  • Continuities

    I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Others

  • Publication year

    2017

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    Gastroenterologie a hepatologie

  • ISSN

    1804-7874

  • e-ISSN

  • Volume of the periodical

    71

  • Issue of the periodical within the volume

    6

  • Country of publishing house

    CZ - CZECH REPUBLIC

  • Number of pages

    4

  • Pages from-to

    483-486

  • UT code for WoS article

  • EID of the result in the Scopus database

    2-s2.0-85039742873