Rectal Ulcer Developed in Systemic Lupus Erythematosus without Ischemic Colitis

• Main Authors: Ki Chang Sohn, Won Gak Heo, Min Su Chu, Eui Joong Kim, Jong Hyeok Chung, Suck Chei Choi, Ki Jung Yun, Geom Seog Seo
• Format: Article
• Language: English
• Published: Jin Publishing & Printing Co. 2019-05-01
• Series: The Korean Journal of Gastroenterology
• Subjects: Lupus erythematosus; systemic; Rectal ulcer; Colitis; ischemic
• Online Access: http://www.kjg.or.kr/journal/view.html?uid=5453&vmd=Full

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.