Journal List > J Rheum Dis > v.21(3) > 1064107

Choi, Yoon, Jang, Hong, Lee, and Yoo: A Case of Systemic Lupus Erythematosus Initially Presented with Acute Acalculous Cholecystitis

Abstract

SLE is an autoimmune disease with multiorgan involvement and a wide range of clinical manifestations, and inflammation of gallbladder also can be represented. There were a few cases of acute acalculous cholecystitis (AAC) in previous reports. Most of them tended to already know about underlying SLE when detected AAC at that time. It may be difficult to detect AAC caused by SLE not due to biliary stone if physician is not conscious of un-diagnosed lupus. We introduce a 70-year old female patient, who is diagnosed with AAC. Her symptoms were satisfied the ACR classification criteria for SLE, and was diagnosed with SLE, simultaneously. After a high dose steroid pulse therapy, followed by cyclophosphamide, her symptoms have improved rapidly. In order to better diagnose and treat the disease, we need to be aware of AAC as a potential manifestation of SLE.

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Figure 1.
The abdominal CT shows gall bladder distension with mild wall thickening without visible stone.
jrd-21-140f1.tif
Figure 2.
The patient has revealed malar rash on her cheeks on the course of the disease.
jrd-21-140f2.tif
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