Asymptomatic Lupus Cystitis with Bilateral Hydronephrosis
Lupus cystitis is a rare complication of systemic lupus erythematosus (SLE). It is characterized by an increase in bladder wall thickness and may be associated with hydroureteronephrosis. Reports, mostly from East Asian countries, indicate that lupus cystitis usually presents with gastrointestinal t...
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| Format: | Article |
| Language: | English |
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Karger Publishers
2018-09-01
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| Series: | Case Reports in Nephrology and Dialysis |
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| Online Access: | https://www.karger.com/Article/FullText/493090 |
| _version_ | 1818693747546783744 |
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| author | Lucky Aziza Bawazier |
| author_facet | Lucky Aziza Bawazier |
| author_sort | Lucky Aziza Bawazier |
| collection | DOAJ |
| description | Lupus cystitis is a rare complication of systemic lupus erythematosus (SLE). It is characterized by an increase in bladder wall thickness and may be associated with hydroureteronephrosis. Reports, mostly from East Asian countries, indicate that lupus cystitis usually presents with gastrointestinal tract symptoms such as diarrhea, nausea, or abdominal pain. Lower urinarytract symptoms such as dysuria, nocturia, polyuria, and suprapubic pain are also common presenting symptoms. We report a 22-year-old female patient who presented at Cipto Mangunkusumo Teaching Hospital in Indonesia, with profuse and prolonged vaginal bleeding without any other accompanying symptoms. She had a history of polyarthralgias, fever, bleeding gums, anemia, and thrombocytopenia 3 months earlier. Abdominal ultrasound examination revealed bilateral hydronephrosis and a thickened bladder wall; the other organs were normal. Laboratory examination confirmed the diagnosis of SLE complicated by lupus nephritis and lupus cystitis. The patient responded well to the treatment with methylprednisolone. The vaginal bleeding stopped within 2 days, and the laboratory parameters improved. She was discharged on oral methylprednisolone and is scheduled for detailed workup after 1 month. |
| first_indexed | 2024-12-17T13:18:36Z |
| format | Article |
| id | doaj.art-35f88d3548b34d85bbd24db2716dc63c |
| institution | Directory Open Access Journal |
| issn | 2296-9705 |
| language | English |
| last_indexed | 2024-12-17T13:18:36Z |
| publishDate | 2018-09-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Nephrology and Dialysis |
| spelling | doaj.art-35f88d3548b34d85bbd24db2716dc63c2022-12-21T21:46:56ZengKarger PublishersCase Reports in Nephrology and Dialysis2296-97052018-09-018319219710.1159/000493090493090Asymptomatic Lupus Cystitis with Bilateral HydronephrosisLucky Aziza BawazierLupus cystitis is a rare complication of systemic lupus erythematosus (SLE). It is characterized by an increase in bladder wall thickness and may be associated with hydroureteronephrosis. Reports, mostly from East Asian countries, indicate that lupus cystitis usually presents with gastrointestinal tract symptoms such as diarrhea, nausea, or abdominal pain. Lower urinarytract symptoms such as dysuria, nocturia, polyuria, and suprapubic pain are also common presenting symptoms. We report a 22-year-old female patient who presented at Cipto Mangunkusumo Teaching Hospital in Indonesia, with profuse and prolonged vaginal bleeding without any other accompanying symptoms. She had a history of polyarthralgias, fever, bleeding gums, anemia, and thrombocytopenia 3 months earlier. Abdominal ultrasound examination revealed bilateral hydronephrosis and a thickened bladder wall; the other organs were normal. Laboratory examination confirmed the diagnosis of SLE complicated by lupus nephritis and lupus cystitis. The patient responded well to the treatment with methylprednisolone. The vaginal bleeding stopped within 2 days, and the laboratory parameters improved. She was discharged on oral methylprednisolone and is scheduled for detailed workup after 1 month.https://www.karger.com/Article/FullText/493090Cystitis lupusSystemic lupus erythematosusHydronephrosis |
| spellingShingle | Lucky Aziza Bawazier Asymptomatic Lupus Cystitis with Bilateral Hydronephrosis Case Reports in Nephrology and Dialysis Cystitis lupus Systemic lupus erythematosus Hydronephrosis |
| title | Asymptomatic Lupus Cystitis with Bilateral Hydronephrosis |
| title_full | Asymptomatic Lupus Cystitis with Bilateral Hydronephrosis |
| title_fullStr | Asymptomatic Lupus Cystitis with Bilateral Hydronephrosis |
| title_full_unstemmed | Asymptomatic Lupus Cystitis with Bilateral Hydronephrosis |
| title_short | Asymptomatic Lupus Cystitis with Bilateral Hydronephrosis |
| title_sort | asymptomatic lupus cystitis with bilateral hydronephrosis |
| topic | Cystitis lupus Systemic lupus erythematosus Hydronephrosis |
| url | https://www.karger.com/Article/FullText/493090 |
| work_keys_str_mv | AT luckyazizabawazier asymptomaticlupuscystitiswithbilateralhydronephrosis |