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Protein-losing enteropathy in systemic lupus erythematosus

Observations by magnifying endoscopy

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Abstract

We report a 35-year-old man with systemic lupus erythematosus and an associated protein-losing enteropathy that was most likely due to mesenteric venulitis or thrombosis. Evaluation of the patient's intestinal abnormality was aided by the use of magnifying endoscopy; the duodenal villi were lustrous and swollen and of various size, a pattern different from that previously described for intestinal lymphangiectasia. The patient was treated with corticosteroids, resulting in a good clinical response and return of the villi to normal shape and size.

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Authors and Affiliations

  1. Department of Internal Medicine, School of Medicine, Keio University, 35, Shinanomachi, Shinjuku-ku, Tokyo, Japan

    Kensuke Kobayashi MD, Hitoshi Asakura MD, Taeco Shinozawa MD, Shunji Yoshida MD, Youichi Ichikawa MD,  Masaharu Tsuchiya MD & William R. Brown MD

  2. The Department of Medicine, University of Colorado School of Medicine, Denver, Colorado

    Kensuke Kobayashi MD, Hitoshi Asakura MD, Taeco Shinozawa MD, Shunji Yoshida MD, Youichi Ichikawa MD,  Masaharu Tsuchiya MD & William R. Brown MD

Authors
  1. Kensuke Kobayashi MD
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  2. Hitoshi Asakura MD
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  3. Taeco Shinozawa MD
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  4. Shunji Yoshida MD
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  5. Youichi Ichikawa MD
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  6. Masaharu Tsuchiya MD
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  7. William R. Brown MD
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Kobayashi, K., Asakura, H., Shinozawa, T. et al. Protein-losing enteropathy in systemic lupus erythematosus. Digest Dis Sci 34, 1924–1928 (1989). https://doi.org/10.1007/BF01536713

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  • DOI: https://doi.org/10.1007/BF01536713

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