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Acute mesenteric lymphadenitis revealing systemic lupus erythematosus
ISSN: 2695 - 5075Publisher: author   
Acute mesenteric lymphadenitis revealing systemic lupus erythematosus
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Medical Sciences
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1.3
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International Category Code (ICC):
ICC-1702
Publisher: Iberoamerican Journal Of Medicine Iberoamerican Journal Of..
International Journal Address (IAA):
IAA.ZONE/269543875075
eISSN
:
2695 - 5075
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Abstract
Acute mesenteric lymphadenitis (AML) remains unusual during systemic lupus erythematosus (SLE), and only a few sporadic observations have been found in the medical literature. It may exceptionally be the first manifestation revealing SLE representing a real diagnostic and therapeutic challenge for clinicians (specific lupus manifestation or infectious complication?). We report an original observation of isolated AML revealing SLE in a 29-year-old Tunisian woman without pathological medical history. She was explored for acute and febrile abdominal pain evolving for a week and not improved by symptomatic treatment. The somatic examination noted a fever at 38.5°C and a discrete diffuse abdominal tenderness. Biology showed a marked biological inflammatory syndrome, leukopenia at 3400/mm3, neutropenia at 1900/mm3, and lymphopenia at 1140/mm3 with no other abnormalities. The abdominal ultrasound and computed tomography objectified multiple...