ASCITES AS THE EARLY PRESENTING SIGN OF SYSTEMIC LUPUS ERYTHEMATOSUS

Main Article Content

Muntaqa Butt
Bareerah Javed
Mujeeb-Ur-Rehman Abid Butt
Hina Awan
Aliqa Fatima

Keywords

SLE, ascites, serositis, lupus peritonitis

Abstract

Ascites is rare and uncommon presenting sign in systemic Lupus Erythematosus (SLE).  A 17-year old female presented with fever, decreased appetitie and abdominal distention and was found to have enlarged axillary lymph nodes, anemia, thrombocytopenia, deranged LFTs and raised ADA on asciitc fluid. Initially treated with antituberculous therapy but later on she was found to have positive antibodies for SLE. She was treated with methylprednisolone and improved.

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References

1. Gozzi C. The great imitator. 10.4081/itjm.2014.430
2. L Gimeno-Torres, et al. Prevalence and risk factors for serositis in patients with systemic lupus erythematosus: A case-control study. Lupus. 2021 Nov;30(13):2095-2101. 10.1177 /096 12033211049305.
3. Batool S, Ahmad NM, Saeed MA, Farman S: Pattern of initial clinical manifestations of systemic lupus erythematosus in a tertiary care hospital. Pak J Med Sci. 2016, 32:1066-70. 10.12669/pjms.325.11480
4. Rahman A, Isenberg DA. Systemic lupus erythematosus. N Engl J Med 2008;358(9):929-39. 10.1056/NEJMra071297.
5. Aringer M, Costenbader K, Daikh D, et al.: 2019 European League Against Rheumatism/American College of Rheumatology classification criteria for systemic lupus erythematosus. Arthritis Rheumatol. 2019, 71:1400-12. 10.1002/art.40930
6. Kirby JM, Jhaveri KS, Maizlin ZV, Midia M, Haider E, Khalili K: Abdominal manifestations of systemic lupus erythematosus: spectrum of imaging findings. Can Assoc Radiol J. 2009, 60:121-32. 10.1016/j.carj.2009.06.001
7. Pott Júnior H, Amate Neto A, Teixeira MA, Provenza JR: Ascites due to lupus peritonitis: a rare form of onset of systemic lupus erythematosus. Rev Bras Reumatol. 2012, 52:116-9.