CRCM  Vol.3 No.9 , September 2014
Case Report: Massive Painless Ascites in a Newly Diagnosed Case of Systemic Lupus Erythematosus
Author(s) Salwa Ibrahim*
ABSTRACT
Systemic lupus erythematosus (SLE) is associated with inflammation of one or more of serous membranes resulting in pleural, peritoneal and pericardial effusion. Massive effusion had rarely been reported in patients with SLE and responded well to immunosuppressive therapy. We reported a case of SLE with recurrent massive ascites as the main presenting complaint with review of the available literature.

Cite this paper
Ibrahim, S. (2014) Case Report: Massive Painless Ascites in a Newly Diagnosed Case of Systemic Lupus Erythematosus. Case Reports in Clinical Medicine, 3, 524-527. doi: 10.4236/crcm.2014.39115.
References
[1]   Petri, M., Orbai, A.M., Alarcon, G.S., et al. (2012) Derivation and Validation of the Systemic Lupus International Collaborating Clinics Classification Criteria for Systemic Lupus Erythematosus. Arthritis Rheumatology, 64, 2677-2686.
http://dx.doi.org/10.1002/art.34473

[2]   Ropes, M.W. (1976) Characteristics, Manifestations and Pathologic Findings. In: Ropes, M.W., Ed., Systemic Lupus Erythematosus, Harvard University Press, Cambridge, 40-41.

[3]   Rothfield, N. (1985) Clinical Features of Systemic Lupus Erythematosus. In: Kelley, W.N., Harris Jr., E.D., Ruddy, S. and Sledge, C.B., Eds., Textbook of Rheumatology, 2nd Edition, Saunders, Philadelphia, 1070-1097.

[4]   Schousboe, J.T., Koch, A.E. and Chang, R.W. (1988) Chronic Lupus Peritonitis with Ascites: Review of the Literature with a Case Report. Seminars in Arthritis and Rheumatism, 18, 121-126.
http://dx.doi.org/10.1016/0049-0172(88)90004-2

[5]   Doherty, N.E. and Sigel, R.Y. (1985) Cardiovascular Manifestations of Systemic Lupus Erythematosus. American Heart Journal, 110, 1257-1265.
http://dx.doi.org/10.1016/0002-8703(85)90023-7

[6]   Jacobsen, E.J. and Reza, M.J. (1978) Constrictive Pericarditis and SLE. Arthritis Rheumatology, 21, 972-974.

[7]   Averbuch, M. and Levo, Y. (1986) Budd-Chiari Syndrome as the Major Complication of Systemic Lupus Erythematosus with the Lupus Anticoagulant. Annals of the Rheumatic Diseases, 45, 435-437.
http://dx.doi.org/10.1136/ard.45.5.435

[8]   Trentham, D.E. and Masi, A.T. (1976) Systemic Lupus Erythematosus with a Protein Losing Enteropathy. JAMA, 236, 287-288.
http://dx.doi.org/10.1001/jama.1976.03270030041027

[9]   Pollack, V.E., Grove, W.J. and Kark, R.M. (1958) Systemic Lupus Erythematosus Simulating Acute Surgical Condition of the Abdomen. New England Journal of Medicine, 254, 258-265.
http://dx.doi.org/10.1056/NEJM195808072590602

[10]   Mier, A. and Weir, W. (1985) Ascites in Systemic Lupus Erythematosus. Annals of the Rheumatic Diseases, 44, 778-779.
http://dx.doi.org/10.1136/ard.44.11.778

[11]   Kaklamanis, P., Vayopoulos, G., Stamatelos, G., Dadinas, G. and Tsokos, G. (1991) Chronic Lupus Peritonitis with Ascites. Annals of the Rheumatic Diseases, 50, 176-177.
http://dx.doi.org/10.1136/ard.50.3.176

[12]   Soysal, D., Turan, S., Ozmen, M., et al. (2013) A Rare Case of Systemic Lupus Erythematosus with Chylous Ascites and Chylothorax. Case Reports in Rheumatology, 2013, Article ID: 797696.

[13]   Weinstein, P. and Noyer, C. (2000) Rapid Onset of Massive Ascites as the Initial Presentation of Systemic Lupus Erythematosus. The American Journal of Gastroenterology, 95, 302-303.
http://dx.doi.org/10.1111/j.1572-0241.2000.01558.x

[14]   Andouh, A., Fujiyama, Y., Kitamura, S., et al. (1997) Acute Lupus Peritonitis Successfully Treated with Steroid Pulse Therapy. Journal of Gastroenterology, 32, 654-657.
http://dx.doi.org/10.1007/BF02934116

[15]   Hammami, S., Bdioui, F., Ouaz, A., et al. (2014) Successful Treatment of Massive Ascites Due to Lupus Peritonitis with Hydroxychloroquine in Old-Onset Lupus Erythematosus. The Pan African Medical Journal, 18, 165.
http://dx.doi.org/10.11604/pamj.2014.18.165.2080

 
 
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