Fatal evolution of systemic Lupus erythematosus associated with Crohn's disease

Detalhes bibliográficos
Autor(a) principal: Chebli, Júlio Maria Fonseca
Data de Publicação: 2000
Outros Autores: Gaburri, Pedro Duarte, Souza, Aécio Flávio Meirelles de, Dias, Kátia Valéria Bastos, Cimino, Karla Oliveira, Carvalho-Filho, Roberto José de, Lucca, Fernando de Azevedo
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFJF
Texto Completo: http://dx.doi.org/10.1590/S0004-28032000000400007
https://repositorio.ufjf.br/jspui/handle/ufjf/9175
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spelling 2019-02-22T13:30:17Z2019-02-212019-02-22T13:30:17Z2000-11374224226http://dx.doi.org/10.1590/S0004-28032000000400007https://repositorio.ufjf.br/jspui/handle/ufjf/9175-The authors describe the case of a young Brazilian woman who was treated of ileocolonic Crohn's disease sparing rectum, as confirmed by colonoscopy and histopathological examination. After a 4-year course of sulfasalazine treatment, she presented with skin facial lesions in vespertilio, fever, arthralgias and high titers of anti-ANA and LE cells. A sulfasalazine-induced lupus syndrome was diagnosed, because after sulfasalazine withdrawal and a short course of prednisone, the clinical symptoms disappeared and the laboratory tests returned to normal. Mesalazine 3 g/day was started and the patient remained well for the next 3 years, when she was again admitted with fever, weakness, arthralgias, diplopy, strabismus and hypoaesthesia in both hands and feet, microhematuria, haematic casts, hypocomplementemia and high titers of autoimmune antibodies. A diagnosis of associated systemic lupus erythematosus was made. Although a pulsotherapy with methylprednisolone was started, no improvement was noticed. A cyclophosphamide trial was tried and again no positive results occurred. The patient evolved to severe clinical manifestations of general vasculitis affecting the central and peripheral nervous system and lungs, having a fatal evolution after 2 weeks. Although uncommon, the association of both disease may occur, and the authors call attention to this possibility, making a brief review of literature.eng--BrasilArquivos de Gastroenterologia-Crohn diseaseLupus erythematosusSystemicFatal evolution of systemic Lupus erythematosus associated with Crohn's diseaseinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleChebli, Júlio Maria FonsecaGaburri, Pedro DuarteSouza, Aécio Flávio Meirelles deDias, Kátia Valéria BastosCimino, Karla OliveiraCarvalho-Filho, Roberto José deLucca, Fernando de Azevedoinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFJFinstname:Universidade Federal de Juiz de Fora (UFJF)instacron:UFJFTHUMBNAILFatal evolution of systemic Lupus erythematosus associated with Crohn's disease.pdf.jpgFatal evolution of systemic Lupus erythematosus associated with Crohn's disease.pdf.jpgGenerated Thumbnailimage/jpeg1650https://repositorio.ufjf.br/jspui/bitstream/ufjf/9175/4/Fatal%20evolution%20of%20systemic%20Lupus%20erythematosus%20associated%20with%20Crohn%27s%20disease.pdf.jpgccf613bfb2acd082110c0056218ac191MD54ORIGINALFatal evolution of systemic Lupus erythematosus associated with Crohn's disease.pdfFatal evolution of systemic Lupus erythematosus associated with Crohn's disease.pdfapplication/pdf158362https://repositorio.ufjf.br/jspui/bitstream/ufjf/9175/1/Fatal%20evolution%20of%20systemic%20Lupus%20erythematosus%20associated%20with%20Crohn%27s%20disease.pdf5b18b7578b50b7a3d90316efac8c13ccMD51LICENSElicense.txtlicense.txttext/plain; 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dc.title.pt_BR.fl_str_mv Fatal evolution of systemic Lupus erythematosus associated with Crohn's disease
title Fatal evolution of systemic Lupus erythematosus associated with Crohn's disease
spellingShingle Fatal evolution of systemic Lupus erythematosus associated with Crohn's disease
Chebli, Júlio Maria Fonseca
-
Crohn disease
Lupus erythematosus
Systemic
title_short Fatal evolution of systemic Lupus erythematosus associated with Crohn's disease
title_full Fatal evolution of systemic Lupus erythematosus associated with Crohn's disease
title_fullStr Fatal evolution of systemic Lupus erythematosus associated with Crohn's disease
title_full_unstemmed Fatal evolution of systemic Lupus erythematosus associated with Crohn's disease
title_sort Fatal evolution of systemic Lupus erythematosus associated with Crohn's disease
author Chebli, Júlio Maria Fonseca
author_facet Chebli, Júlio Maria Fonseca
Gaburri, Pedro Duarte
Souza, Aécio Flávio Meirelles de
Dias, Kátia Valéria Bastos
Cimino, Karla Oliveira
Carvalho-Filho, Roberto José de
Lucca, Fernando de Azevedo
author_role author
author2 Gaburri, Pedro Duarte
Souza, Aécio Flávio Meirelles de
Dias, Kátia Valéria Bastos
Cimino, Karla Oliveira
Carvalho-Filho, Roberto José de
Lucca, Fernando de Azevedo
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Chebli, Júlio Maria Fonseca
Gaburri, Pedro Duarte
Souza, Aécio Flávio Meirelles de
Dias, Kátia Valéria Bastos
Cimino, Karla Oliveira
Carvalho-Filho, Roberto José de
Lucca, Fernando de Azevedo
dc.subject.cnpq.fl_str_mv -
topic -
Crohn disease
Lupus erythematosus
Systemic
dc.subject.por.fl_str_mv Crohn disease
Lupus erythematosus
Systemic
description -
publishDate 2000
dc.date.issued.fl_str_mv 2000-11
dc.date.accessioned.fl_str_mv 2019-02-22T13:30:17Z
dc.date.available.fl_str_mv 2019-02-21
2019-02-22T13:30:17Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.uri.fl_str_mv https://repositorio.ufjf.br/jspui/handle/ufjf/9175
dc.identifier.doi.pt_BR.fl_str_mv http://dx.doi.org/10.1590/S0004-28032000000400007
url http://dx.doi.org/10.1590/S0004-28032000000400007
https://repositorio.ufjf.br/jspui/handle/ufjf/9175
dc.language.iso.fl_str_mv eng
language eng
dc.relation.ispartof.pt_BR.fl_str_mv Arquivos de Gastroenterologia
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