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A patient with protein-losing enteropathy associated with systemic lupus erythematosus. 1992
U Chung, and
M Oka, and
Y Nakagawa, and
T Nishishita, and
N Sekine, and
Y Tanaka, and
S Harada, and
T Igarashi, and
E Ogata
Fourth Department of Internal Medicine, University of Tokyo Faculty of Medicine, Japan.
A 46-year-old woman previously diagnosed as having systemic lupus erythematosus presented with severe hypoalbuminemia and anasarca. She was demonstrated to have protein-losing enteropathy without any other active symptoms of SLE. Her bowel habit was normal and endoscopic examination revealed non-specific colitis and a small ulcer in the duodenum. Serum biochemistry showed an abnormal profile of the serum protein, including severe hyperlipoproteinemia and hyperfibrinogenemia. The process of protein-losing was not selective in terms of the molecular size. All of these symptoms and the abnormalities in laboratory data were improved by corticosteroid therapy.
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