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MR Vol.14 No.1 indexに戻る
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MODERN RHEUMATOLOGY
Vol.14 No.1 |
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A case of lupus cystitis with a history of idiopathic
thrombocytopenic purpura |
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| Miwa Haranaka1 , Midori Kumagi1, Ikuko Hino1,
Kaori Watanabe1, Hiroshi Tatsukawa1, Koji Ishii1 and Hironobu Yoshimatsu1 |
| (1) First Department of Anatomy, Biology and
Internal Medicine, Oita Medical University, Hasama, Oita, 879-5593,
Japan |
Received: 27 December 2002 Accepted: 03 July
2003 |
| Abstract |
| 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. |
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| Key words |
| Key words Idiopathic thrombocytopenic purpura (ITP) - Lupus cystitis
- Systemic lupus erythematosus (SLE) - Urinary tract involvement |
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