直腸潰瘍と骨盤腔膿瘍を合併したSLEの1例

Abstract

We report a 51-year-old female patient diagnosed with systemic lupus erythematosus (SLE) with rectal ulcer and pelvic abscess. She was admitted to our hospital because of high-grade fever. She had been diagnosed with SLE in May, 1985, and took 5 mg/day of prednisolone continuously. As SLE disease activity index (SLEDAI) on admission was only 7 points, the activity of SLE was not considered to be developed. A computed tomographic scan of the pelvis, a barium enema and a colonoscopy showed rectal ulcer and pelvic abscess. A colostomy was performed on the 35th hospital day. Ablution of abscess and intravenous drip of antibiotic were started on the 36th hospital day. On the 150th hospital day, high-grade fever disappeared. On the 210th hospital day, enteroproctia was closed. The cause of the rectal ulcer seemed to be the overuse of NSAID rather than SLE itself.