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권순대 ( Sun Dae Kwon ),이태희 ( Tae He Lee ),권진경 ( Jin Kyung Kwon ),박성배 ( Sung Bae Park ),김현철 ( Hyun Chul Kim ) 대한류마티스학회 1997 대한류마티스학회지 Vol.4 No.2
Systemic lupus erythematosus is a systemic disorder which has frequent involvement of gastrointestinal tract. Non-specific symptoms such as anorexia, nausea, diarrhea and abdominal pain are well known symptoms when the gastrointestinal tract is involved. The most feared gastrointestinal complication of systemic lupus erythematosus is lupus enteritis. The pathological change in lupus enteritis is usually a result of mesenteric vasculitis. Major complications such as intestinal bleeding and perforation may occur and sometimes result in sugery. Because of high mortality rate in case of major complications, early diagnosis and appropriate treatment is very important. We experienced three patients with lupus enteritis who presented with severe abdominal pain and dirrhea. They were diagnosed by characteristic radiographical findings of small bowel series and barium study. All radiographical findings has been resolved completely with the steroid therapy. Conclusively we can induce complete remission by steroid therapy alone, if we diagnose lupus enteritis in the early period of disease course.