MR Vol.13 No.3 indexに戻る

MODERN RHEUMATOLOGY Vol.13 No.3             
Mononeuritis multiplex, protein-losing gastroenteropathy, and choroidopathy seen together in a case of systemic lupus erythematosus
Yasuhiko Hirabayashi1 , Shinichiro Saito2, Miki Watanabe Takeshita1, Takao Kodera1, Yasuhiko Munakata1, Tomonori Ishii1, Hiroshi Fujii1, Masahiko Shimura3 and Takeshi Sasaki1
(1) Department of Rheumatology and Hematology, Tohoku University School of Medicine, 1-1 Seiryo-cho, Aoba-ku, Sendai, 980-8574, Japan
(2) Department of Internal Medicine, Sendai Teishin Hospital, Sendai, Japan
(3) Department of Ophthalmology, Tohoku University School of Medicine, Sendai, Japan
 
Received: 28 June 2002 Accepted: 06 December 2002
 
Abstract
A 43-year-old woman with systemic lupus erythematosus (SLE) had an episode of mononeuritis multiplex prior to developing protein-losing gastroenteropathy. Four years later, she had another episode of mononeuritis multiplex, followed by choroidopathy. These manifestations are uncommon in SLE, but may be attributed to vasculitis. The laboratory findings indicated that the elevation of D-dimer and thrombin?antithrombin complex levels seen in this case might be useful in evaluating vascular lesions in SLE.
 
Key words
Choroidopathy - Mononeuritis multiplex - Protein ? losing gastroenteropathy - Systemic lupus erythematosus (SLE) -
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