Intestinal ischemia as the first manifestation of vasculitis
To summarize current knowledge regarding the diagnosis and management of gastrointestinal vasculitis. Three cases of gastrointestinal vasculitis with acute abdominal ischemia as their first manifestation are presented. Underlying diseases were microscopic polyangiitis, systemic lupus erythematosus (...
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| Veröffentlicht in: | Seminars in arthritis and rheumatism 2004-08, Vol.34 (1), p.431-441 |
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| container_title | Seminars in arthritis and rheumatism |
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| creator | Passam, Freda H. Diamantis, Ioannis D. Perisinaki, Garyfalia Saridaki, Zenia Kritikos, Herakles Georgopoulos, Dimitrios Boumpas, Dimitrios T. |
| description | To summarize current knowledge regarding the diagnosis and management of gastrointestinal vasculitis.
Three cases of gastrointestinal vasculitis with acute abdominal ischemia as their first manifestation are presented. Underlying diseases were microscopic polyangiitis, systemic lupus erythematosus (SLE), and polyarteritis nodosa (PAN). Relevant English-language articles collected from the PubMed database were reviewed.
Among the angiitides, PAN, SLE, and Henoch-Schönlein are those most commonly accompanied by gastrointestinal complications. Intestinal vasculitis usually occurs when there is evidence of generalized disease activity. Abdominal computerized tomography is a valuable tool for diagnosing intestinal ischemia and suspected vasculitis.
In young patients presenting with intestinal ischemia, it is essential to assess the possibility of an underlying systemic disease. With prompt initiation of immunosuppressive treatment, surgery may be avoided. Prognosis is improved when there is minimal delay in surgical intervention. |
| doi_str_mv | 10.1016/j.semarthrit.2003.12.004 |
| format | Article |
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Three cases of gastrointestinal vasculitis with acute abdominal ischemia as their first manifestation are presented. Underlying diseases were microscopic polyangiitis, systemic lupus erythematosus (SLE), and polyarteritis nodosa (PAN). Relevant English-language articles collected from the PubMed database were reviewed.
Among the angiitides, PAN, SLE, and Henoch-Schönlein are those most commonly accompanied by gastrointestinal complications. Intestinal vasculitis usually occurs when there is evidence of generalized disease activity. Abdominal computerized tomography is a valuable tool for diagnosing intestinal ischemia and suspected vasculitis.
In young patients presenting with intestinal ischemia, it is essential to assess the possibility of an underlying systemic disease. With prompt initiation of immunosuppressive treatment, surgery may be avoided. Prognosis is improved when there is minimal delay in surgical intervention.</description><identifier>ISSN: 0049-0172</identifier><identifier>EISSN: 1532-866X</identifier><identifier>DOI: 10.1016/j.semarthrit.2003.12.004</identifier><identifier>PMID: 15305242</identifier><identifier>CODEN: SAHRBF</identifier><language>eng</language><publisher>Philadelphia, PA: Elsevier Inc</publisher><subject>Abdomen, Acute - diagnosis ; Abdomen, Acute - etiology ; abdominal pain ; Abdominal Pain - diagnosis ; Abdominal Pain - etiology ; Adult ; Biological and medical sciences ; Diagnosis, Differential ; Diseases of the osteoarticular system ; Fatal Outcome ; Female ; Follow-Up Studies ; gastrointestinal ischemia ; Humans ; Intestines - blood supply ; Ischemia - diagnosis ; Laparotomy ; Lupus Erythematosus, Systemic - diagnosis ; Male ; Medical sciences ; Middle Aged ; Polyarteritis Nodosa - diagnosis ; Risk Assessment ; Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis ; Vasculitis ; Vasculitis - diagnosis</subject><ispartof>Seminars in arthritis and rheumatism, 2004-08, Vol.34 (1), p.431-441</ispartof><rights>2004 Elsevier Inc.</rights><rights>2004 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c400t-77b2c0fd9fd7ede99c26c06fdd67317c865a2246116268b3d6a93363be755df53</citedby><cites>FETCH-LOGICAL-c400t-77b2c0fd9fd7ede99c26c06fdd67317c865a2246116268b3d6a93363be755df53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.semarthrit.2003.12.004$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16071109$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15305242$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Passam, Freda H.</creatorcontrib><creatorcontrib>Diamantis, Ioannis D.</creatorcontrib><creatorcontrib>Perisinaki, Garyfalia</creatorcontrib><creatorcontrib>Saridaki, Zenia</creatorcontrib><creatorcontrib>Kritikos, Herakles</creatorcontrib><creatorcontrib>Georgopoulos, Dimitrios</creatorcontrib><creatorcontrib>Boumpas, Dimitrios T.</creatorcontrib><title>Intestinal ischemia as the first manifestation of vasculitis</title><title>Seminars in arthritis and rheumatism</title><addtitle>Semin Arthritis Rheum</addtitle><description>To summarize current knowledge regarding the diagnosis and management of gastrointestinal vasculitis.
Three cases of gastrointestinal vasculitis with acute abdominal ischemia as their first manifestation are presented. Underlying diseases were microscopic polyangiitis, systemic lupus erythematosus (SLE), and polyarteritis nodosa (PAN). Relevant English-language articles collected from the PubMed database were reviewed.
Among the angiitides, PAN, SLE, and Henoch-Schönlein are those most commonly accompanied by gastrointestinal complications. Intestinal vasculitis usually occurs when there is evidence of generalized disease activity. Abdominal computerized tomography is a valuable tool for diagnosing intestinal ischemia and suspected vasculitis.
In young patients presenting with intestinal ischemia, it is essential to assess the possibility of an underlying systemic disease. With prompt initiation of immunosuppressive treatment, surgery may be avoided. Prognosis is improved when there is minimal delay in surgical intervention.</description><subject>Abdomen, Acute - diagnosis</subject><subject>Abdomen, Acute - etiology</subject><subject>abdominal pain</subject><subject>Abdominal Pain - diagnosis</subject><subject>Abdominal Pain - etiology</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Diagnosis, Differential</subject><subject>Diseases of the osteoarticular system</subject><subject>Fatal Outcome</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>gastrointestinal ischemia</subject><subject>Humans</subject><subject>Intestines - blood supply</subject><subject>Ischemia - diagnosis</subject><subject>Laparotomy</subject><subject>Lupus Erythematosus, Systemic - diagnosis</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Polyarteritis Nodosa - diagnosis</subject><subject>Risk Assessment</subject><subject>Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis</subject><subject>Vasculitis</subject><subject>Vasculitis - diagnosis</subject><issn>0049-0172</issn><issn>1532-866X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1LAzEQhoMotlb_guxFb7tOst1kF7xo8aNQ8KLgLaTJhKbsR03Sgv_elBZ69DQwPDPzzkNIRqGgQPnDugjYKR9X3sWCAZQFZQXA9IyMaVWyvOb8-5yMU6fJgQo2IlchrAEo5SAuyShBULEpG5PHeR8xRNerNnNBr7BzKlMhiyvMrPMhZp3qnU2Iim7os8FmOxX0tnXRhWtyYVUb8OZYJ-Tr9eVz9p4vPt7ms6dFrqcAMRdiyTRY01gj0GDTaMY1cGsMFyUVuuaVYmzKUzrG62VpuGrKkpdLFFVlbFVOyP1h78YPP9uURXYpK7at6nHYBsm5EHXVsATWB1D7IQSPVm68S6J-JQW5NyfX8mRO7s1JymTylEZvjze2yw7NafCoKgF3RyD9r1rrVa9dOHHJLKXQJO75wGEysnPoZdAOe43GedRRmsH9n-YP8a2RqQ</recordid><startdate>20040801</startdate><enddate>20040801</enddate><creator>Passam, Freda H.</creator><creator>Diamantis, Ioannis D.</creator><creator>Perisinaki, Garyfalia</creator><creator>Saridaki, Zenia</creator><creator>Kritikos, Herakles</creator><creator>Georgopoulos, Dimitrios</creator><creator>Boumpas, Dimitrios T.</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><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>7X8</scope></search><sort><creationdate>20040801</creationdate><title>Intestinal ischemia as the first manifestation of vasculitis</title><author>Passam, Freda H. ; Diamantis, Ioannis D. ; Perisinaki, Garyfalia ; Saridaki, Zenia ; Kritikos, Herakles ; Georgopoulos, Dimitrios ; Boumpas, Dimitrios T.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c400t-77b2c0fd9fd7ede99c26c06fdd67317c865a2246116268b3d6a93363be755df53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Abdomen, Acute - diagnosis</topic><topic>Abdomen, Acute - etiology</topic><topic>abdominal pain</topic><topic>Abdominal Pain - diagnosis</topic><topic>Abdominal Pain - etiology</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Diagnosis, Differential</topic><topic>Diseases of the osteoarticular system</topic><topic>Fatal Outcome</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>gastrointestinal ischemia</topic><topic>Humans</topic><topic>Intestines - blood supply</topic><topic>Ischemia - diagnosis</topic><topic>Laparotomy</topic><topic>Lupus Erythematosus, Systemic - diagnosis</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Polyarteritis Nodosa - diagnosis</topic><topic>Risk Assessment</topic><topic>Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis</topic><topic>Vasculitis</topic><topic>Vasculitis - diagnosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Passam, Freda H.</creatorcontrib><creatorcontrib>Diamantis, Ioannis D.</creatorcontrib><creatorcontrib>Perisinaki, Garyfalia</creatorcontrib><creatorcontrib>Saridaki, Zenia</creatorcontrib><creatorcontrib>Kritikos, Herakles</creatorcontrib><creatorcontrib>Georgopoulos, Dimitrios</creatorcontrib><creatorcontrib>Boumpas, Dimitrios T.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Seminars in arthritis and rheumatism</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Passam, Freda H.</au><au>Diamantis, Ioannis D.</au><au>Perisinaki, Garyfalia</au><au>Saridaki, Zenia</au><au>Kritikos, Herakles</au><au>Georgopoulos, Dimitrios</au><au>Boumpas, Dimitrios T.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intestinal ischemia as the first manifestation of vasculitis</atitle><jtitle>Seminars in arthritis and rheumatism</jtitle><addtitle>Semin Arthritis Rheum</addtitle><date>2004-08-01</date><risdate>2004</risdate><volume>34</volume><issue>1</issue><spage>431</spage><epage>441</epage><pages>431-441</pages><issn>0049-0172</issn><eissn>1532-866X</eissn><coden>SAHRBF</coden><abstract>To summarize current knowledge regarding the diagnosis and management of gastrointestinal vasculitis.
Three cases of gastrointestinal vasculitis with acute abdominal ischemia as their first manifestation are presented. Underlying diseases were microscopic polyangiitis, systemic lupus erythematosus (SLE), and polyarteritis nodosa (PAN). Relevant English-language articles collected from the PubMed database were reviewed.
Among the angiitides, PAN, SLE, and Henoch-Schönlein are those most commonly accompanied by gastrointestinal complications. Intestinal vasculitis usually occurs when there is evidence of generalized disease activity. Abdominal computerized tomography is a valuable tool for diagnosing intestinal ischemia and suspected vasculitis.
In young patients presenting with intestinal ischemia, it is essential to assess the possibility of an underlying systemic disease. With prompt initiation of immunosuppressive treatment, surgery may be avoided. Prognosis is improved when there is minimal delay in surgical intervention.</abstract><cop>Philadelphia, PA</cop><pub>Elsevier Inc</pub><pmid>15305242</pmid><doi>10.1016/j.semarthrit.2003.12.004</doi><tpages>11</tpages></addata></record> |
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| subjects | Abdomen, Acute - diagnosis Abdomen, Acute - etiology abdominal pain Abdominal Pain - diagnosis Abdominal Pain - etiology Adult Biological and medical sciences Diagnosis, Differential Diseases of the osteoarticular system Fatal Outcome Female Follow-Up Studies gastrointestinal ischemia Humans Intestines - blood supply Ischemia - diagnosis Laparotomy Lupus Erythematosus, Systemic - diagnosis Male Medical sciences Middle Aged Polyarteritis Nodosa - diagnosis Risk Assessment Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis Vasculitis Vasculitis - diagnosis |
| title | Intestinal ischemia as the first manifestation of vasculitis |
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