Clinical and endoscopic assessment of gastric state in systemic lupus erythematosus and antiphospholipid syndrome

Objective. To characterize gastric mucosa (GM) state in systemic lupus erythematosus (SLE) and antiphospholipid syndrome (APS). Material and methods. Gastroscopy (GS) with GM biopsy and histological examination was performed in 85 pts (65 with SLE and 20 with primary APS). 26 from 65 pts with SLE ha...

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Main Authors: I. A. Doroshkevich, S G Radenska-Lopovok, A E Karateev, M Y Krilov, T M Reshetnyk
Format: Article
Language:Russian
Published: IMA PRESS LLC 2004-06-01
Series:Научно-практическая ревматология
Subjects:
Online Access:https://rsp.mediar-press.net/rsp/article/view/1302
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author I. A. Doroshkevich
S G Radenska-Lopovok
A E Karateev
M Y Krilov
T M Reshetnyk
author_facet I. A. Doroshkevich
S G Radenska-Lopovok
A E Karateev
M Y Krilov
T M Reshetnyk
author_sort I. A. Doroshkevich
collection DOAJ
description Objective. To characterize gastric mucosa (GM) state in systemic lupus erythematosus (SLE) and antiphospholipid syndrome (APS). Material and methods. Gastroscopy (GS) with GM biopsy and histological examination was performed in 85 pts (65 with SLE and 20 with primary APS). 26 from 65 pts with SLE had secondary APS. 21 SLE pt before inclusion did not receive glucocorticoids (GC). H. pylory and its cytotoxicity gen CagA, HSV-I, CMV were examined in GM samples with PCR. Results. The most frequent GS-feature in pts with SLE and ARS was antral gastritis (82%). In 25% of pts erosions and in 8% - hemorrhages of GM were present. Erosions localized mostly in stomach (25%), in 7% of cases they were present in duodenum. In APS pts epigastric pain and GM erosions were more frequent than in SLE without APS. H.pylory in GM was revealed in 70-81%. In 42% of pts it was present in combination with HSV-1 and/or CMV. In more than half of pts with antral gastritis and GM erosions revealed H. pylory was CagA-positive. GC therapy did not influence frequency of GM erosions and hemorrhages formation. Conclusion. The most frequent GS-features in pts with SLE and ARS were antral gastritis and GM erosions. Epigastric pain and GM erosions were more frequent in pts with APS.
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spelling doaj.art-391d6eca557f49389420faab17e87e182023-03-22T13:45:39ZrusIMA PRESS LLCНаучно-практическая ревматология1995-44841995-44922004-06-01423232610.14412/1995-4484-2004-14731242Clinical and endoscopic assessment of gastric state in systemic lupus erythematosus and antiphospholipid syndromeI. A. DoroshkevichS G Radenska-LopovokA E KarateevM Y KrilovT M ReshetnykObjective. To characterize gastric mucosa (GM) state in systemic lupus erythematosus (SLE) and antiphospholipid syndrome (APS). Material and methods. Gastroscopy (GS) with GM biopsy and histological examination was performed in 85 pts (65 with SLE and 20 with primary APS). 26 from 65 pts with SLE had secondary APS. 21 SLE pt before inclusion did not receive glucocorticoids (GC). H. pylory and its cytotoxicity gen CagA, HSV-I, CMV were examined in GM samples with PCR. Results. The most frequent GS-feature in pts with SLE and ARS was antral gastritis (82%). In 25% of pts erosions and in 8% - hemorrhages of GM were present. Erosions localized mostly in stomach (25%), in 7% of cases they were present in duodenum. In APS pts epigastric pain and GM erosions were more frequent than in SLE without APS. H.pylory in GM was revealed in 70-81%. In 42% of pts it was present in combination with HSV-1 and/or CMV. In more than half of pts with antral gastritis and GM erosions revealed H. pylory was CagA-positive. GC therapy did not influence frequency of GM erosions and hemorrhages formation. Conclusion. The most frequent GS-features in pts with SLE and ARS were antral gastritis and GM erosions. Epigastric pain and GM erosions were more frequent in pts with APS.https://rsp.mediar-press.net/rsp/article/view/1302systemic lupus erythematosusantiphospholipid syndromegastric mucosa
spellingShingle I. A. Doroshkevich
S G Radenska-Lopovok
A E Karateev
M Y Krilov
T M Reshetnyk
Clinical and endoscopic assessment of gastric state in systemic lupus erythematosus and antiphospholipid syndrome
Научно-практическая ревматология
systemic lupus erythematosus
antiphospholipid syndrome
gastric mucosa
title Clinical and endoscopic assessment of gastric state in systemic lupus erythematosus and antiphospholipid syndrome
title_full Clinical and endoscopic assessment of gastric state in systemic lupus erythematosus and antiphospholipid syndrome
title_fullStr Clinical and endoscopic assessment of gastric state in systemic lupus erythematosus and antiphospholipid syndrome
title_full_unstemmed Clinical and endoscopic assessment of gastric state in systemic lupus erythematosus and antiphospholipid syndrome
title_short Clinical and endoscopic assessment of gastric state in systemic lupus erythematosus and antiphospholipid syndrome
title_sort clinical and endoscopic assessment of gastric state in systemic lupus erythematosus and antiphospholipid syndrome
topic systemic lupus erythematosus
antiphospholipid syndrome
gastric mucosa
url https://rsp.mediar-press.net/rsp/article/view/1302
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AT aekarateev clinicalandendoscopicassessmentofgastricstateinsystemiclupuserythematosusandantiphospholipidsyndrome
AT mykrilov clinicalandendoscopicassessmentofgastricstateinsystemiclupuserythematosusandantiphospholipidsyndrome
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