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허혈성 대장염 없이 전신성 홍반성 루푸스에서 발현한 직장 궤양
손기창 ( Ki Chang Sohn ),허원각 ( Won Gak Heo ),주민수 ( Min Su Chu ),김의중 ( Eui Joong Kim ),정종혁 ( Jong Hyeok Chung ),최석채 ( Suck Chei Choi ),윤기중 ( Ki Jung Yun ),서검석 ( Geom Seog Seo ) 대한소화기학회 2019 대한소화기학회지 Vol.73 No.5
Rectal involvement by systemic lupus erythematosus (SLE) is quite rare. Approximately 14 cases have been reported worldwide, but only one with ischemic colitis has been reported in Korea. A 17-year-old female patient was hospitalized with abdominal pain and hematochezia. Sigmoidoscopy revealed only a simple rectal ulcer without ischemic colitis. cytomegalovirus and bacterial infections were excluded. A sigmoidoscopic rectal biopsy indicated a rectal invasion by SLE, but the patient showed an acute worsening conditions that did not respond to treatment. This paper reports a case of rectal ulcer that developed in SLE without ischemic colitis with a review of the relevant literature. (Korean J Gastroenterol 2019;73:299-302)