Lupus cystitis presenting with hidronephrosis and gastrointestinal involvement
Lupus cystitis is a rare manifestation of systemic lupus erythematosus, characterized by thickening of the bladder wall, associated with ureterohydronephrosis. In several cases gastrointestinal symptoms are the main manifestation. The optimal immunosuppressive regimen is still unknown. 16-year-old g...
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| Veröffentlicht in: | Brazilian Journal of Nephrology 2016-12, Vol.38 (4), p.478-482 |
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| container_title | Brazilian Journal of Nephrology |
| container_volume | 38 |
| creator | Teles, Flávio Santos, Larissa Gonçalves de Albuquerque Tenório, Carlos Eugênio Lira Marinho, Monique Ramalho Moraes, Saulo Rodrigo de Ramalho Câmara, Davi de Brito Santos, Renata Oliveira Lins, Camila Ricardo Uchôa Costa, André Falcão Pedrosa |
| description | Lupus cystitis is a rare manifestation of systemic lupus erythematosus, characterized by thickening of the bladder wall, associated with ureterohydronephrosis. In several cases gastrointestinal symptoms are the main manifestation. The optimal immunosuppressive regimen is still unknown.
16-year-old girl with systemic lupus erythematosus was admitted with dysuria, renal impairment, diarrhea, abdominal pain, nausea and vomiting. An abdominal CT scan demonstrated moderate bilateral dilation from the pelvis to the ureterovesical junction, and the bladder exhibited reduced capacity and diffusely thickened walls. A diagnosis of chronic interstitial cystitis was performed and treatment with high dose methylprednisolone resulted in a significant relief of gastrointestinal and urinary symptoms and a reduction of the bladder thickness with improvement of their capacity.
Lupus cystitis is a rare and underdiagnosed urinary manifestation of LES and the presence of mild urinary symptoms and abdominal pain may alert about this possibility. |
| doi_str_mv | 10.5935/0101-2800.20160077 |
| format | Article |
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16-year-old girl with systemic lupus erythematosus was admitted with dysuria, renal impairment, diarrhea, abdominal pain, nausea and vomiting. An abdominal CT scan demonstrated moderate bilateral dilation from the pelvis to the ureterovesical junction, and the bladder exhibited reduced capacity and diffusely thickened walls. A diagnosis of chronic interstitial cystitis was performed and treatment with high dose methylprednisolone resulted in a significant relief of gastrointestinal and urinary symptoms and a reduction of the bladder thickness with improvement of their capacity.
Lupus cystitis is a rare and underdiagnosed urinary manifestation of LES and the presence of mild urinary symptoms and abdominal pain may alert about this possibility.</description><identifier>ISSN: 0101-2800</identifier><identifier>ISSN: 2175-8239</identifier><identifier>EISSN: 2175-8239</identifier><identifier>DOI: 10.5935/0101-2800.20160077</identifier><identifier>PMID: 28001179</identifier><language>eng ; por</language><publisher>Brazil: Sociedade Brasileira de Nefrologia</publisher><subject>Adolescent ; cistite intersticial ; Cystitis - complications ; Female ; Gastrointestinal Diseases - etiology ; Humans ; Hydronephrosis - etiology ; Lupus Erythematosus, Systemic - complications ; lúpus eritematoso sistêmico ; sintomas do trato urinário inferior</subject><ispartof>Brazilian Journal of Nephrology, 2016-12, Vol.38 (4), p.478-482</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3677-67b27a55763015296a6a0907b7845bb09689b7e5920df33fc688aa0e71bcc9753</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,860,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28001179$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Teles, Flávio</creatorcontrib><creatorcontrib>Santos, Larissa Gonçalves de Albuquerque</creatorcontrib><creatorcontrib>Tenório, Carlos Eugênio Lira</creatorcontrib><creatorcontrib>Marinho, Monique Ramalho</creatorcontrib><creatorcontrib>Moraes, Saulo Rodrigo de Ramalho</creatorcontrib><creatorcontrib>Câmara, Davi de Brito</creatorcontrib><creatorcontrib>Santos, Renata Oliveira</creatorcontrib><creatorcontrib>Lins, Camila Ricardo Uchôa</creatorcontrib><creatorcontrib>Costa, André Falcão Pedrosa</creatorcontrib><title>Lupus cystitis presenting with hidronephrosis and gastrointestinal involvement</title><title>Brazilian Journal of Nephrology</title><addtitle>J Bras Nefrol</addtitle><description>Lupus cystitis is a rare manifestation of systemic lupus erythematosus, characterized by thickening of the bladder wall, associated with ureterohydronephrosis. In several cases gastrointestinal symptoms are the main manifestation. The optimal immunosuppressive regimen is still unknown.
16-year-old girl with systemic lupus erythematosus was admitted with dysuria, renal impairment, diarrhea, abdominal pain, nausea and vomiting. An abdominal CT scan demonstrated moderate bilateral dilation from the pelvis to the ureterovesical junction, and the bladder exhibited reduced capacity and diffusely thickened walls. A diagnosis of chronic interstitial cystitis was performed and treatment with high dose methylprednisolone resulted in a significant relief of gastrointestinal and urinary symptoms and a reduction of the bladder thickness with improvement of their capacity.
Lupus cystitis is a rare and underdiagnosed urinary manifestation of LES and the presence of mild urinary symptoms and abdominal pain may alert about this possibility.</description><subject>Adolescent</subject><subject>cistite intersticial</subject><subject>Cystitis - complications</subject><subject>Female</subject><subject>Gastrointestinal Diseases - etiology</subject><subject>Humans</subject><subject>Hydronephrosis - etiology</subject><subject>Lupus Erythematosus, Systemic - complications</subject><subject>lúpus eritematoso sistêmico</subject><subject>sintomas do trato urinário inferior</subject><issn>0101-2800</issn><issn>2175-8239</issn><issn>2175-8239</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>DOA</sourceid><recordid>eNo9kMtOwzAQRS0EolXpD7BA-YGUcRy_lqjiUamCDawt23FaozSJ7LSof49DaVcj3fG5tg9C9xgWVBL6CBhwXgiARQGYAXB-haYF5jQXBZHXaHo5MEHzGL0BAliWXJBbNBljjLmcovf1vt_HzB7j4Acfsz646NrBt5vsxw_bbOur0LWu34YuprVuq2yj4xA63w4uMa1uMt8euubgdom7Qze1bqKb_88Z-np5_ly-5euP19XyaZ1bwjjPGTcF15Rylh5FC8k00yCBGy5KagxIJqThjsoCqpqQ2jIhtAbHsbFWckpmaHXqrTr9rfrgdzocVae9-gu6sFE6DN42TtWMViUVjKaryhobAU5aUVFmS0k4wamrOHXZ9McYXH3pw6BG12pUqUZn6uw6QQ8nqN-bnasuyNks-QUay3j9</recordid><startdate>20161201</startdate><enddate>20161201</enddate><creator>Teles, Flávio</creator><creator>Santos, Larissa Gonçalves de Albuquerque</creator><creator>Tenório, Carlos Eugênio Lira</creator><creator>Marinho, Monique Ramalho</creator><creator>Moraes, Saulo Rodrigo de Ramalho</creator><creator>Câmara, Davi de Brito</creator><creator>Santos, Renata Oliveira</creator><creator>Lins, Camila Ricardo Uchôa</creator><creator>Costa, André Falcão Pedrosa</creator><general>Sociedade Brasileira de Nefrologia</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>DOA</scope></search><sort><creationdate>20161201</creationdate><title>Lupus cystitis presenting with hidronephrosis and gastrointestinal involvement</title><author>Teles, Flávio ; Santos, Larissa Gonçalves de Albuquerque ; Tenório, Carlos Eugênio Lira ; Marinho, Monique Ramalho ; Moraes, Saulo Rodrigo de Ramalho ; Câmara, Davi de Brito ; Santos, Renata Oliveira ; Lins, Camila Ricardo Uchôa ; Costa, André Falcão Pedrosa</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3677-67b27a55763015296a6a0907b7845bb09689b7e5920df33fc688aa0e71bcc9753</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng ; por</language><creationdate>2016</creationdate><topic>Adolescent</topic><topic>cistite intersticial</topic><topic>Cystitis - complications</topic><topic>Female</topic><topic>Gastrointestinal Diseases - etiology</topic><topic>Humans</topic><topic>Hydronephrosis - etiology</topic><topic>Lupus Erythematosus, Systemic - complications</topic><topic>lúpus eritematoso sistêmico</topic><topic>sintomas do trato urinário inferior</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Teles, Flávio</creatorcontrib><creatorcontrib>Santos, Larissa Gonçalves de Albuquerque</creatorcontrib><creatorcontrib>Tenório, Carlos Eugênio Lira</creatorcontrib><creatorcontrib>Marinho, Monique Ramalho</creatorcontrib><creatorcontrib>Moraes, Saulo Rodrigo de Ramalho</creatorcontrib><creatorcontrib>Câmara, Davi de Brito</creatorcontrib><creatorcontrib>Santos, Renata Oliveira</creatorcontrib><creatorcontrib>Lins, Camila Ricardo Uchôa</creatorcontrib><creatorcontrib>Costa, André Falcão Pedrosa</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Brazilian Journal of Nephrology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Teles, Flávio</au><au>Santos, Larissa Gonçalves de Albuquerque</au><au>Tenório, Carlos Eugênio Lira</au><au>Marinho, Monique Ramalho</au><au>Moraes, Saulo Rodrigo de Ramalho</au><au>Câmara, Davi de Brito</au><au>Santos, Renata Oliveira</au><au>Lins, Camila Ricardo Uchôa</au><au>Costa, André Falcão Pedrosa</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Lupus cystitis presenting with hidronephrosis and gastrointestinal involvement</atitle><jtitle>Brazilian Journal of Nephrology</jtitle><addtitle>J Bras Nefrol</addtitle><date>2016-12-01</date><risdate>2016</risdate><volume>38</volume><issue>4</issue><spage>478</spage><epage>482</epage><pages>478-482</pages><issn>0101-2800</issn><issn>2175-8239</issn><eissn>2175-8239</eissn><abstract>Lupus cystitis is a rare manifestation of systemic lupus erythematosus, characterized by thickening of the bladder wall, associated with ureterohydronephrosis. In several cases gastrointestinal symptoms are the main manifestation. The optimal immunosuppressive regimen is still unknown.
16-year-old girl with systemic lupus erythematosus was admitted with dysuria, renal impairment, diarrhea, abdominal pain, nausea and vomiting. An abdominal CT scan demonstrated moderate bilateral dilation from the pelvis to the ureterovesical junction, and the bladder exhibited reduced capacity and diffusely thickened walls. A diagnosis of chronic interstitial cystitis was performed and treatment with high dose methylprednisolone resulted in a significant relief of gastrointestinal and urinary symptoms and a reduction of the bladder thickness with improvement of their capacity.
Lupus cystitis is a rare and underdiagnosed urinary manifestation of LES and the presence of mild urinary symptoms and abdominal pain may alert about this possibility.</abstract><cop>Brazil</cop><pub>Sociedade Brasileira de Nefrologia</pub><pmid>28001179</pmid><doi>10.5935/0101-2800.20160077</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals |
| subjects | Adolescent cistite intersticial Cystitis - complications Female Gastrointestinal Diseases - etiology Humans Hydronephrosis - etiology Lupus Erythematosus, Systemic - complications lúpus eritematoso sistêmico sintomas do trato urinário inferior |
| title | Lupus cystitis presenting with hidronephrosis and gastrointestinal involvement |
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