Chronic Lupus Peritonitis with Massive Ascites at Elderly Onset: Case Report and Review of the Literature
A 77-year-old Japanese woman with massive painless ascites caused by chronic lupus peritonitis is reported. Peritoneal effusion had been resistant to the administration of steroids during the whole treatment period. It was characteristic that the titers of anti-DNA antibodies and the level of immune...
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| Veröffentlicht in: | Internal Medicine 2002, Vol.41(11), pp.1056-1061 |
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| container_title | Internal Medicine |
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| creator | ITO, Hiroyuki NANAMIYA, Wakako KURODA, Naoto INOUE, Mari SASAOKA, Atsushi CHIJIWA, Tatsumi NISHIYA, Koji HASHIMOTO, Kozo NAKAGAWA, Osamu |
| description | A 77-year-old Japanese woman with massive painless ascites caused by chronic lupus peritonitis is reported. Peritoneal effusion had been resistant to the administration of steroids during the whole treatment period. It was characteristic that the titers of anti-DNA antibodies and the level of immune complex were elevated in the peritoneal fluid with suppressed levels of complements in ascites, although serum immunological markers reflecting the activity of SLE presented improvement after initiation of the treatment. Fifteen patients with chronic lupus peritonitis were reported previously. We reviewed the literature and suggest that chronic lupus peritonitis at elderly onset may demonstrate a poor response to the glucocorticoid therapy because of persistent inflammation in the peritoneum and the presence of impaired vascular circulation in addition to immunological mechanisms. (Internal Medicine 41: 1056-1061, 2002) |
| doi_str_mv | 10.2169/internalmedicine.41.1056 |
| format | Article |
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Peritoneal effusion had been resistant to the administration of steroids during the whole treatment period. It was characteristic that the titers of anti-DNA antibodies and the level of immune complex were elevated in the peritoneal fluid with suppressed levels of complements in ascites, although serum immunological markers reflecting the activity of SLE presented improvement after initiation of the treatment. Fifteen patients with chronic lupus peritonitis were reported previously. We reviewed the literature and suggest that chronic lupus peritonitis at elderly onset may demonstrate a poor response to the glucocorticoid therapy because of persistent inflammation in the peritoneum and the presence of impaired vascular circulation in addition to immunological mechanisms. (Internal Medicine 41: 1056-1061, 2002)</description><identifier>ISSN: 0918-2918</identifier><identifier>EISSN: 1349-7235</identifier><identifier>DOI: 10.2169/internalmedicine.41.1056</identifier><identifier>PMID: 12487191</identifier><language>eng</language><publisher>Tokyo: The Japanese Society of Internal Medicine</publisher><subject>Age Factors ; Aged ; ascites ; Ascites - complications ; Biological and medical sciences ; Female ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Lupus Erythematosus, Systemic - complications ; Medical sciences ; Miscellaneous. Technology ; Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques ; pericarditis ; Peritonitis - complications ; pleuritis ; serositis ; systemic lupus erythematosus ; vasculitis</subject><ispartof>Internal Medicine, 2002, Vol.41(11), pp.1056-1061</ispartof><rights>The Japanese Society of Internal Medicine</rights><rights>2003 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c557t-e486393e8a8f73f06c928aa9c914f777e11aaea49f0f67e89e217f80d2e885723</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1877,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14467571$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12487191$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>ITO, Hiroyuki</creatorcontrib><creatorcontrib>NANAMIYA, Wakako</creatorcontrib><creatorcontrib>KURODA, Naoto</creatorcontrib><creatorcontrib>INOUE, Mari</creatorcontrib><creatorcontrib>SASAOKA, Atsushi</creatorcontrib><creatorcontrib>CHIJIWA, Tatsumi</creatorcontrib><creatorcontrib>NISHIYA, Koji</creatorcontrib><creatorcontrib>HASHIMOTO, Kozo</creatorcontrib><creatorcontrib>NAKAGAWA, Osamu</creatorcontrib><title>Chronic Lupus Peritonitis with Massive Ascites at Elderly Onset: Case Report and Review of the Literature</title><title>Internal Medicine</title><addtitle>Intern. Med.</addtitle><description>A 77-year-old Japanese woman with massive painless ascites caused by chronic lupus peritonitis is reported. Peritoneal effusion had been resistant to the administration of steroids during the whole treatment period. It was characteristic that the titers of anti-DNA antibodies and the level of immune complex were elevated in the peritoneal fluid with suppressed levels of complements in ascites, although serum immunological markers reflecting the activity of SLE presented improvement after initiation of the treatment. Fifteen patients with chronic lupus peritonitis were reported previously. We reviewed the literature and suggest that chronic lupus peritonitis at elderly onset may demonstrate a poor response to the glucocorticoid therapy because of persistent inflammation in the peritoneum and the presence of impaired vascular circulation in addition to immunological mechanisms. (Internal Medicine 41: 1056-1061, 2002)</description><subject>Age Factors</subject><subject>Aged</subject><subject>ascites</subject><subject>Ascites - complications</subject><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Lupus Erythematosus, Systemic - complications</subject><subject>Medical sciences</subject><subject>Miscellaneous. Technology</subject><subject>Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques</subject><subject>pericarditis</subject><subject>Peritonitis - complications</subject><subject>pleuritis</subject><subject>serositis</subject><subject>systemic lupus erythematosus</subject><subject>vasculitis</subject><issn>0918-2918</issn><issn>1349-7235</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNplkE9vEzEQxS0EoqHwFZAvcNtge__Y5lZFLSClalXgbA3OmLjaeIPH26rfng1ZtRK9jG3N743fPMa4FEslO_sppoI5Qb_DTfQx4bKRSyna7gVbyLqxlVZ1-5IthJWmUlM5YW-IboWojbbqNTuRqjFaWrlgcbXNQ4qer8f9SPwacyzTu0Ti97Fs-SUQxTvkZ-RjQeJQ-Hm_wdw_8KtEWD7zFRDyG9wPuXBIm-l6F_GeD4GXLfL1pMpQxoxv2asAPeG7-TxlPy_Of6y-VuurL99WZ-vKt60uFTamq22NBkzQdRCdt8oAWG9lE7TWKCUAQmODCJ1GY1FJHYzYKDSmnRY_ZR-Pc_d5-DMiFbeL5LHvIeEwktNKm9oqO4HmCPo8EGUMbp_jDvKDk8IdYnb_x-wa6Q4xT9L38x_jr6n5JJxznYAPMwDkoQ8Zko_0xDVNp1t94L4fuVsq8BsfAcgl-h6fOZDWqn8u5FwPdh5pv4XsMNV_ARyYqd4</recordid><startdate>20021101</startdate><enddate>20021101</enddate><creator>ITO, Hiroyuki</creator><creator>NANAMIYA, Wakako</creator><creator>KURODA, Naoto</creator><creator>INOUE, Mari</creator><creator>SASAOKA, Atsushi</creator><creator>CHIJIWA, Tatsumi</creator><creator>NISHIYA, Koji</creator><creator>HASHIMOTO, Kozo</creator><creator>NAKAGAWA, Osamu</creator><general>The Japanese Society of Internal Medicine</general><general>Japanese Society of Internal Medicine</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>20021101</creationdate><title>Chronic Lupus Peritonitis with Massive Ascites at Elderly Onset: Case Report and Review of the Literature</title><author>ITO, Hiroyuki ; NANAMIYA, Wakako ; KURODA, Naoto ; INOUE, Mari ; SASAOKA, Atsushi ; CHIJIWA, Tatsumi ; NISHIYA, Koji ; HASHIMOTO, Kozo ; NAKAGAWA, Osamu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c557t-e486393e8a8f73f06c928aa9c914f777e11aaea49f0f67e89e217f80d2e885723</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Age Factors</topic><topic>Aged</topic><topic>ascites</topic><topic>Ascites - complications</topic><topic>Biological and medical sciences</topic><topic>Female</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Lupus Erythematosus, Systemic - complications</topic><topic>Medical sciences</topic><topic>Miscellaneous. Technology</topic><topic>Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques</topic><topic>pericarditis</topic><topic>Peritonitis - complications</topic><topic>pleuritis</topic><topic>serositis</topic><topic>systemic lupus erythematosus</topic><topic>vasculitis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>ITO, Hiroyuki</creatorcontrib><creatorcontrib>NANAMIYA, Wakako</creatorcontrib><creatorcontrib>KURODA, Naoto</creatorcontrib><creatorcontrib>INOUE, Mari</creatorcontrib><creatorcontrib>SASAOKA, Atsushi</creatorcontrib><creatorcontrib>CHIJIWA, Tatsumi</creatorcontrib><creatorcontrib>NISHIYA, Koji</creatorcontrib><creatorcontrib>HASHIMOTO, Kozo</creatorcontrib><creatorcontrib>NAKAGAWA, Osamu</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>Internal Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>ITO, Hiroyuki</au><au>NANAMIYA, Wakako</au><au>KURODA, Naoto</au><au>INOUE, Mari</au><au>SASAOKA, Atsushi</au><au>CHIJIWA, Tatsumi</au><au>NISHIYA, Koji</au><au>HASHIMOTO, Kozo</au><au>NAKAGAWA, Osamu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Chronic Lupus Peritonitis with Massive Ascites at Elderly Onset: Case Report and Review of the Literature</atitle><jtitle>Internal Medicine</jtitle><addtitle>Intern. Med.</addtitle><date>2002-11-01</date><risdate>2002</risdate><volume>41</volume><issue>11</issue><spage>1056</spage><epage>1061</epage><pages>1056-1061</pages><issn>0918-2918</issn><eissn>1349-7235</eissn><abstract>A 77-year-old Japanese woman with massive painless ascites caused by chronic lupus peritonitis is reported. Peritoneal effusion had been resistant to the administration of steroids during the whole treatment period. It was characteristic that the titers of anti-DNA antibodies and the level of immune complex were elevated in the peritoneal fluid with suppressed levels of complements in ascites, although serum immunological markers reflecting the activity of SLE presented improvement after initiation of the treatment. Fifteen patients with chronic lupus peritonitis were reported previously. 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| subjects | Age Factors Aged ascites Ascites - complications Biological and medical sciences Female Humans Investigative techniques, diagnostic techniques (general aspects) Lupus Erythematosus, Systemic - complications Medical sciences Miscellaneous. Technology Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques pericarditis Peritonitis - complications pleuritis serositis systemic lupus erythematosus vasculitis |
| title | Chronic Lupus Peritonitis with Massive Ascites at Elderly Onset: Case Report and Review of the Literature |
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