A case of lupus cystitis with a history of idiopathic thrombocytopenic purpura

A case of lupus cystitis with a history of idiopathic thrombocytopenic purpura

Abstract A 36-year-old Japanese woman who had been diagnosed as having systemic lupus erythematosus (SLE) at the age of 34 began to complain of severe bowel symptoms and developed severe hydroureteronephrosis. She had a history of idiopathic thrombocytopenic purpura. Biopsy specimens from her bladde...

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Veröffentlicht in:Modern rheumatology 2004-03, Vol.14 (1), p.61-65
Hauptverfasser: Haranaka, Miwa, Kumagi, Midori, Hino, Ikuko, Watanabe, Kaori, Tatsukawa, Hiroshi, Ishii, Koji, Yoshimatsu, Hironobu
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container_end_page 65
container_issue 1
container_start_page 61
container_title Modern rheumatology
container_volume 14
creator Haranaka, Miwa
Kumagi, Midori
Hino, Ikuko
Watanabe, Kaori
Tatsukawa, Hiroshi
Ishii, Koji
Yoshimatsu, Hironobu
description Abstract A 36-year-old Japanese woman who had been diagnosed as having systemic lupus erythematosus (SLE) at the age of 34 began to complain of severe bowel symptoms and developed severe hydroureteronephrosis. She had a history of idiopathic thrombocytopenic purpura. Biopsy specimens from her bladder showed interstitial cystitis. She was diagnosed as having lupus cystitis, and treated with intravenous methylprednisolone pulse therapy followed by oral prednisolone and ureter catheterization. Her urinary and bowel symptoms were alleviated and the level of hydroureteronephrosis improved. We note that cystitis could be a primary manifestation of SLE. Patients not only with SLE but also with some autoimmune diseases require careful urological evaluation when they complain of severe bowel symptoms.
doi_str_mv 10.3109/s10165-003-0267-0
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title A case of lupus cystitis with a history of idiopathic thrombocytopenic purpura
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