Simultaneous herpes simplex virus esophagitis and lupus enteritis in a patient with systemic lupus erythematosus

Vol.20 No.1

Case Report

Simultaneous herpes simplex virus esophagitis and lupus enteritis in a patient with systemic lupus erythematosus

Authors

Hideki Wakui¹ , Masaru Togashi¹ , Ayumi Omokawa¹ , Shin Okuyama¹ , Rie Masai¹ , Atsushi Komatsuda¹ , Hitoshi Ogasawara² , Ken-ichi Sawada¹

Department of Hematology, Nephrology, and Rheumatology, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita 010-8543, Japan
Second Department of Internal Medicine, Odate Municipal General Hospital, Odate, Japan

Received:

26 June 2009

Accepted:

7 September 2009

Published online:

3 October 2009

Full Text

PDF　(member's only)

Abstract

A 52-year-old woman with a 6-year history of systemic lupus erythematosus (SLE) developed acute abdominal pain, nausea, vomiting, and diarrhea accompanied by hypocomplementemia. Herpes simplex virus (HSV) esophagitis and lupus enteritis were diagnosed on the basis of the results of endoscopic and histological examinations and abdominal computed tomography (CT) findings. Treatment with acyclovir followed by high-dose intravenous steroids improved her symptoms. To our knowledge, this is the first case of simultaneous HSV esophagitis and lupus enteritis.

Key words

Herpes simplex virus esophagitis - Lupus enteritis - Systemic lupus erythematosus