Chronic abdominal pain and diarrhea as the first clinical manifestations of childhood-onset systemic lupus erythematosus: A case report and literature review
Keywords:
chronic abdominal pain, diarrhea, Childhood-onset SLE, severe malnutritionAbstract
Background: Clinical manifestations of systemic lupus erythematosus (SLE) are polymorphic, with involvement of various organs, leading to a delay in diagnosis. Gastrointestinal (GI) manifestations in SLE as the first symptoms in children are rare.
Case report: A 10-year-old girl presented with chronic abdominal pain, chronic diarrhea and severe malnutrition without other signs and symptoms. She was subsequently diagnosed with SLE by EULAR/ACR criteria. The patient was treated with corticosteroid and nutritional management. She recovered well, weight gained to normal and had no recurrence of GI symptoms during the last 12 months of follow-up.
Conclusion: Pediatricians should be aware of SLE in patients presenting with isolated GI manifestations.
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